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Declaration Of Service LPS-4 - California
| Declaration Of Service Form. This is a California form and can be used in Probate Orange Local County . |
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PETITIONER (Name & Address): TELEPHONE NO.: FOR COURT USE ONLY IN PROPRIA PERSONA SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE Lamoreaux Justice Center 341 The City Drive Post Office Box 14171 Orange, CA 92863-1571 CONSERVATORSHIP OF: CONSERVATEE DECLARATION OF SERVICE CASE NUMBER: LPS I, the undersigned, hereby declare that I gave or mailed a copy of the Petition for Reappointment of Conservator and Notice of Hearing as follows: 1. Mailed Date: Gave Orange County Health Care Agency Mental Health Director th 405 West 5 Street, Suite 458 Santa Ana, CA 92701 Orange County Public Administrator/ Public Guardian's Office P.O. Box 11526 Santa Ana, CA 92711 Office of the Public Defender Mental Health Unit 901 W. Civic Center Dr., Suite 200 Santa Ana, CA 92703 Conservatee: Address: 2. Mailed Date: Gave 3. Mailed Date: Gave 4. Mailed Date: Gave 5. Mailed Date: Gave Facility: Address: 6. Mailed Date: Gave [Any others, such as private attorney for conservatee] Name: Address: I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (TYPE OR PRINT NAME) (SIGNATURE OF CONSERVATOR) LPS-4 (Revised June 1, 2008)] 984 (R6/08) DECLARATION OF SERVICE (LPS Conservatorship Reappointment) DEC 399 American LegalNet, Inc. www.FormsWorkflow.com
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