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ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): TELEPHONE NO.: FOR COURT USE ONLY
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA BARBARA
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:
(PROPOSED) CONSERVATORSHIP OF:
PERSON
LIMITED
ESTATE CASE NUMBER:
CONSERVATORSHIP CONTACT INFORMATION (CONFIDENTIAL)
HEARING DATE:
PROPOSED
REVIEW
SUCCESSOR CONSERVATOR
General Directions: This form must be filed with petitions for the appointment of a conservator, for appointment of a successor conservator, and with subsequent accountings. Add pages if necessary to give complete information.
1. (PROPOSED) CONSERVATEE ________________________ Name ________________________ Address ____________________________ City, State, Zip Code
Telephone Numbers: ____________________ Residence
_________________________ Day Program (if appropriate)
SPECIAL PROBLEMS RELATED TO INVESTIGATION (i.e. language, personal safety, communication) _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ NOTE: The Court must be notified immediately of address changes of Conservatees and Conservators. 2. PETITIONER (if different from Proposed Conservator) _________________________ Name _________________________ Address ____________________________ City, State, Zip Code (cell)____________________
Telephone Numbers: (home) __________________
(work) __________________
Relationship to (Proposed Conservatee) _________________________
Page 1 of 3
Mandatory Form SC-6003 [Rev. Jun. 22, 2007]
CONSERVATORSHIP CONTACT INFORMATION
(CONFIDENTIAL)
Probate Code §§2250.6(a)(1)(A)(B)(C), §1826(a)(1)(2), §1851(a)
Insert Case Name:
CASE NUMBER:
3. (PROPOSED) CONSERVATOR _________________________ Name _________________________ Address ______________________________ City, State, Zip Code (cell) ___________________
Telephone Numbers: (home) ___________________
(work) ___________________
Relationship to (Proposed Conservatee) _________________________ 4. SPOUSE REGISTERED DOMESTIC PARTNER _________________________ Address ______________________________ City, State, Zip Code (cell) ___________________
__________________________ Name
Telephone Numbers: (home) ___________________ 5.
(work) ___________________
RELATIVES WITHIN THE FIRST DEGREE (Adult Children, Parents) _________________________ Address ______________________________ City, State, Zip Code (cell) ___________________
__________________________ Name
Telephone Numbers: (home) ___________________
(work) ___________________
Relationship to (Proposed Conservatee) _________________________ _________________________ Name _________________________ Address ______________________________ City, State, Zip Code (cell) ___________________
Telephone Numbers: (home) ___________________
(work) ___________________
Relationship to (Proposed Conservatee) _________________________ _________________________ Name _________________________ Address ______________________________ City, State, Zip Code (cell) ___________________
Telephone Numbers: (home) ___________________
(work) ___________________
Relationship to (Proposed Conservatee) _________________________ 6. RELATIVES WITHIN THE SECOND DEGREE (Grandparents, Adult Grandchildren, Sisters and Brothers) _________________________ Address ______________________________ City, State, Zip Code (cell) ___________________
_________________________ Name
Telephone Numbers: (home) ___________________
(work) ___________________
Relationship to (Proposed) Conservatee _________________________ _________________________ Name _________________________ Address ______________________________ City, State, Zip Code (cell) __________________
Telephone Numbers: (home) ___________________
(work) ____________________
Relationship to (Proposed) Conservatee _________________________
Page 2 of 3
Mandatory Form SC-6003 [Rev. Jun. 22, 2007]
CONSERVATORSHIP CONTACT INFORMATION
(CONFIDENTIAL)
Probate Code §§2250.6(a)(1)(A)(B)(C), §1826(a)(1)(2), §1851(a)
Insert Case Name:
CASE NUMBER:
7. RELATIVES PURSUANT TO PROBATE CODE §1821(B) If no spouse or domestic partner of the proposed conservatee or relatives within the second degree are known to the petitioner, please identify: Spouse or domestic partner of a predeceased parent of a proposed conservatee: _________________________ Name _________________________ Address _____________________________ City, State, Zip Code (cell) __________________
Telephone Numbers: (home) ___________________
(work) ___________________
Children of a predeceased spouse or domestic partner of a proposed conservatee (Attach pages if necessary) _________________________ Name _________________________ Address _____________________________ City, State, Zip Code (cell) __________________
Telephone Numbers: (home) ___________________
(work) ___________________
Siblings of the proposed conservatee's parents, but if none, then the natural and adoptive children of the proposed conservatee's parent's siblings (Attach pages if necessary) _________________________ Name _________________________ Address _____________________________ City, State, Zip Code (cell) __________________
Telephone Numbers: (home) ___________________
(work) ___________________
Nieces and nephews of the proposed conservatee (Attach pages if necessary) _________________________ Name _________________________ Address _____________________________ City, State, Zip Code (cell) __________________
Telephone Numbers: (home) ___________________ 8. NEIGHBORS
(work) ___________________
_______________________ Name _______________________ Name 9. FRIENDS
(home) _________________ (work) _________________ (cell)_________________ Telephone Numbers (home) _________________ (work) _________________ (cell)_________________ Telephone Numbers
_______________________ Name _______________________ Name
(home) _________________ (work) _________________ (cell)_________________ Telephone Numbers (home) _________________ (work) _________________ (cell)_________________ Telephone Numbers
Page 3 of 3
Mandatory Form SC-6003 [Rev. Jun. 22, 2007]
CONSERVATORSHIP CONTACT INFORMATION
(CONFIDENTIAL)
Probate Code §§2250.6(a)(1)(A)(B)(C), §1826(a)(1)(2), §1851(a)
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