Free NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT AT - California

Request for Refund of Graduated Filing Fees
NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY:

THIS FORM MUST BE SUBMITTED ON YELLOW PAPER

STATE BAR NUMBER

Reserved for Clerk's Lodged Stamp

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES
COURTHOUSE ADDRESS:

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Estate of:

Reserved for Clerk's Filed Stamp

REQUEST FOR REFUND OF GRADUATED FILING FEES (Decedents' Estates - Probate)

NOTE: THIS FORM IS NOT TO BE USED WHEN THE COURT HAS ORDERED FINAL DISTRIBUTION, UNLESS THE ORDER ALLOWS A REFUND OF GRADUATED FILING FEES.
For additional information refer to Los Angeles Superior Court's Notice to Attorneys, Refund of Graduated Filing Fees. I, am [ ] the personal representative of the above referenced estate OR [ ] was the petitioner in the first filed petition for probate. My address is:
Street Address City State Zip Code

CASE NUMBER

:

TO BE COMPLETED FOR OPEN CASES WHEN THE COURT HAS NOT MADE AN ORDER FOR REFUND OF THE GRADUATED FILING FEE In support of this request for refund I allege: The first Petition for Probate was filed with the Court on: If the applicant is not the personal representative of the estate, the name(s) of the personal representative(s) of the estate: The address of the personal representative, if pro per, or name and address of his/her attorney of record:
Street Address City State Zip Code

Date of payment: Date of payment:

Amount of payment: Amount of payment:

Receipt number: Receipt number:

Request for Refund of Graduated Filing Fees Decedents' Estates - Probate PRO 022 (NEW 05/08)
ADMIN Approved

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Request for Refund of Graduated Filing Fees

THIS FORM MUST BE SUBMITTED ON YELLOW PAPER

I am requesting a refund of the graduated filing fee in the amount of $ Total amount of my payment(s): Less, the amount of base fee plus local add-ons: TOTAL AMOUNT OF REFUND CLAIMED: [ [ ] Mail the refund to my address as noted above. ] Mail the refund to me at the following address:
City State

, calculated as follows: $ $

Street Address

Zip Code

TO BE COMPLETED WHEN THE COURT HAS MADE AN ORDER ALLOWING A REFUND OF THE GRADUATED FILING FEE Attached is a copy of this Court's order dated allowing a refund of the graduated filing fee in the sum . That order provides for payment of the refund as follows: of $ [ ] To the applicant herein, as personal representative of the estate of the above-named decedent. [ ] To the persons as specified in the order attached hereto. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Dated:
Signature

Dated:
Signature

TO BE COMPLETED BY THE COURT Refund: Reason for denial: [ ] Approved [ ] Denied [ ] The graduated filing fee paid was equal to the base fee plus local add-ons, in the year of filing, and no refund is due. [ ] The applicant was not the initial (first) filer and did not pay the graduated filing fee. [ ] Petition for Final Distribution was approved per Minute Order dated and any request for refund must be made in a properly filed and noticed petition/motion. [ ] The order allowing refund of the graduated filing fees is not attached as alleged. [ ] Other: Dated: Signature [ ] Probate Attorney [ ] Probate Examiner Deposit Refund Order #: Date: Printed Name / Refund Clerk

By:

TO BE COMPLETED BY THE CLERK ISSUING REFUND ORDER By:

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Request for Refund of Graduated Filing Fees Decedents' Estates - Probate PRO 022 (NEW 05/08)
ADMIN Approved

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