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Request For Waiver Or Deferment Of Court Investigator Fees - California

Request For Waiver Or Deferment Of Court Investigator Fees Form. This is a California form and can be used in Alameda Local County .
 Fillable pdf Last Modified 1/24/2012
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Alameda County Superior Court Court Investigator's Office 1221 Oak Street, Suite 260 Oakland, CA 94612 510-636-8820 Fax: 510-451-2269 REQUEST FOR DEFERMENT OF COURT INVESTIGATOR FEES I, ______________________________________(Name of Conservator) am the conservator of the person and/or estate of: Case No.: ________________________________________. I would like to request a waiver or deferment of the Court Investigator fees ordered paid in this matter. The payment of the fees would be a hardship to the conservatee or their estate. The request for waiver or deferment is based on the following information about the conservatee's assets: 1. 2. 3. 4. 5. The conservatee is / is not receiving Medi-Cal benefits. The conservatee's monthly income is $____________. The conservatee's liquid (cash) assets are currently valued at $____________. The conservatee owns / does not own any interest in real property. The conservatee is / is not the beneficiary of a trust. The conservatee's financial interest (Name of Conservatee), in the trust is valued at $_________________. I understand that I have a duty to notify the court of changed circumstances that may affect my eligibility for a deferment of fees.I declare under penalty of perjury under the laws of the state of California that the foregoing information is correct and true. DATE:__________________ SIGNATURE:_________________________________, Conservator BASED ON THE FOREGOING , THE COURT INVESTIGATION FEE IS: Deferred and payable upon the conservatee's death or upon liquidation of property. Waived Other___________________________________________________ Date: ________________ __________________________, Court Investigations Manager CI Revised 8.1.11 American LegalNet, Inc. www.FormsWorkFlow.com
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