sample verified supplement for california probate
Post on 08-Sep-2014
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Any PetitionerAny StreetAny Town, CA 90000
555-555-5555
Petitioner, In Pro Per
Superior Court of the State of California
For the County of ________________
Estate of:
__________________________
Deceased.
)))))))))))))
Case No.
VERIFIED SUPPLEMENT TO PETITION FOR________________________________
DATE:TIME:DEPT:
Petitioner, __________________________, as the Petitioner in the above-
entitled action and as a supplement to the Petition for__________________, states as follows:
1. All items of property inventoried were the separate property of the Decedent.
Petitioner has prepared an Inventory and Appraisal along with attachments which was mailed to
the Probate Referee on ______________. Upon receipt of the completed Inventory and Appraisal
Petitioner will prepare, file and serve the Notice of Allowance or Rejection forms for the claims filed
by _____________ on ___________ and ____________ as Petitioner must have the amount of the
Inventory and Appraisal to complete said forms, DE-174.
2. Notice in the manner provided by Probate Code § 216 is not required to be given
- 1 -VERIFIED SUPPLEMENT TO ___________________________
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to the Director of the California Victim Compensation and Government Claims Board.
3. Due to an error ________________________________.
4. All claims paid as listed by the Petitioner were (1) justly due, (2) were paid in
good faith, (3) the amount paid was the true amount of the indebtedness over and above all payments
and offsets, and (4) the estate was solvent at the time the claims were paid. Said claims were paid
without a formal claim being filed. Said claims were to, __________________________.
5. All statements and figures in the reports and accounts filed with the Petition for
_____________ are true and correct. All statements made by the Petitioner in the Petition for
______________ are true and correct.
6.
Be sure to modify these paragraphs to suit your individual situation. Do NOT just
use the wording here unless it definitely applies to your particular situation. Be sure to list all
of the problems that were listed in the probate notes and what your explanation is, or list the
additional information that was requested in the probate notes. Be sure to file this supplement
with the Court at least one (1) week before the hearing, or as listed in the local rules of your
county.
Dated:_________________ _________________________________________ NAME OF PETITIONER,
PETITIONER
- 2 -VERIFIED SUPPLEMENT TO ___________________________
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VERIFICATION
I, the undersigned, the Petitioner for the above named case, declare that I have read the
foregoing Verified Supplement to Petition for ____________________________ and all attachments
and know its contents. I declare that the Verified Supplement to Petition for
____________________________, including all attachments, is true to my own knowledge, except
as to matters in it stated on my own information and belief, and as to those matters I believe it to be
true.
I declare under penalty of perjury under the laws of the State of California that the
foregoing is true and correct and that this declaration was executed on ________________,2011 at
_________, California.
_________________________________________
NAME OF PETITIONER
- 3 -VERIFIED SUPPLEMENT TO ___________________________
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