Free Request for Waiver or Deferment of Court Investigator Fees - California


File Size: 16.7 kB
Pages: 1
Date: April 10, 2008
File Format: PDF
State: California
Category: Court Forms - Local
Author: parrottr
Word Count: 166 Words, 1,081 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.mendocino.courts.ca.gov/forms/ConservatorshipWaiverDeferment.pdf

Download Request for Waiver or Deferment of Court Investigator Fees ( 16.7 kB)


Preview Request for Waiver or Deferment of Court Investigator Fees
Requestor's Name, Address and Phone number

Superior Court of California County of Mendocino
In the Matter of the Conservatorship of: ) ) ) ) ) ) ) Case No: SCUKCVPGRequest for Waiver or Deferment of Court Investigator Fees CONFIDENTIAL

Conservatee.

I am the conservator of the person and/or estate in the above entitled case. I would like to request a waiver or deferment of the Court Investigator fees in this matter. The payment of the fees would be a hardship. A waiver or deferment is requested based on the following information about the conservatee's assets: 1. The conservatee is is not receiving Medi-Cal benefits. . .

2. The conservatee's monthly income is $ 3. The conservatee's liquid assets are currently valued at $ 4. The conservatee 5. The conservatee owns is

does not own any interest in real property.

is not the beneficiary of a trust. .

The conservatee's financial interest is valued at $

I declare under penalty of perjury under the laws of the State of California that the foregoing information is correct and true.

Dated:

Signature: Printed Name: