COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : :
DECLARANT (Name): INSTITUTION (Name): ADDRESS: TITLE:
Index No. Calendar No.
FOR COURT USE ONLY
Plaintiff(s) -againstFAX (Optional):
: : : :
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:
Defendant(s) : . GUARDIANSHIP . . . . . . . CONSERVATORSHIP . .OF . . . . . . . . . . . . . . . . ........... ............... ..
(Name): NO FILING FEE
THE PEOPLE OF THE STATE OF NEW YORK TO
NOTICE OF OPENING OR CHANGING A GUARDIANSHIP OR CONSERVATORSHIP ACCOUNT OR SAFE-DEPOSIT BOX
NOTE TO FINANCIAL INSTITUTION: When a guardian or conservator of the estate of a person opens or changes the name on an account or a safe-deposit box in a "financial institution" (a bank, a trust, a savings and loan association, a savings bank, an industrial bank, or a credit union), the institution must file a statement with the court having jurisdiction over the proceeding and identified in the Letters of Guardianship or Letters of Conservatorship. The statement must contain the information specified below concerning each GREETINGS: new or existing account or safe-deposit box in the institution. The statement must be signed by an authorized officer of the institution. I am an officer of the financial institution identified in this statement, and I am authorized to sign this statement on its behalf. The guardianWE COMMAND YOU, that all Guardianship or Letters of Conservatorship you and each guardianattend before or conservator presented Letters of business and excuses being laid aside, identifying the of you or the Honorable Court conservator of the estate of the ward or conservatee named at the above. 3. a. County of Financial institution (name): located at b. in room(name): Branch , on the day of , 20 , at o'clock in the noon, and at any recessed (street address): or adjourned date, to testify and give evidence as a witness in this action on the part of the (telephone): (city and zip code): 1. 2. 4. Account status (check one; identify additional new or existing accounts on Attachment 4): (1) New account opened on (date): reflecting the guardianship or conservatorship. (2) Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Account number: (1) Existing behalf this subpoena was b. the party on whoseaccount changed on (date): issued for a maximum penalty of $50 and all damages sustained as a to reflect the guardianship or conservatorship. result of your failure to comply. change: (2) Account number: Before After change: (3) Name on account before change (state each name): a.
, one of the Justices of the
c. Court in balance of newCounty, or balance of existing account20 Opening account day of , immediately after change: $ a. b. Safe-deposit box status (check one. Identify additional safe-deposit boxes on Attachment 5): reflecting the guardianship or conservatorship. New box rented on (date): Existing box rental changed to reflect the guardianship or conservatorship on (date): (Attorney must sign above and type name below) c. New safe-deposit box number or current number after change: has has not been given access to the safe-deposit box identified above. d. This institution (If you checked "has," complete item 5e.) e. The contents of the safe-deposit box identified above are as follows (list the contents in general terms, such as "currency, Attorney(s) for coins, jewelry, tableware, insurance policies or certificates, stock certificates, bonds, deeds, and wills"):
6. Name of each person who opened or whose name was added to above-identified account or safe-deposit box (state each name):
Office and P.O. Address
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:
Telephone No.: Facsimile No.: (TYPE OR PRINT NAME OF AUTHORIZED OFFICER) (SIGNATURE E-Mail Address: OF AUTHORIZED OFFICER) Form Adopted for Mandatory Use NOTICE OF OPENING OR CHANGING Mobile Tel. No.: OR A GUARDIANSHIP Judicial Council of California
GC-051 [Rev. July 1, 2005]
Page 1 of 1 Probate Code, § 2892 www.courtinfo.ca.gov
CONSERVATORSHIP ACCOUNT OR SAFE-DEPOSIT BOX
(Probate--Guardianships and Conservatorships)
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