COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-350 ......... .. ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address): :
After recording return to:
Index No. Calendar No.
:
TELEPHONE NO.: FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name):
Plaintiff(s) -against-
: : : :
JUDICIAL SUBPOENA
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:
CONSERVATORSHIP OF (Name):
Defendant(s) : ......................................................
CONSERVATEE
FOR RECORDER'S USE ONLY CASE NUMBER:
LETTERS OF CONSERVATORSHIP
1.
THE PEOPLE OF THE STATE OF NEW YORK (Name): TO (name): of
conservator limited conservator of the
Person
Estate
Limited Conservatorship is the appointed person estate
FOR COURT USE ONLY
2.
3.
(For conservatorship that was on December 31, 1980, a guardianship of an adult or of the person of a married minor) (Name): was appointed the guardian of the person estate by order dated (specify): and is now the conservator of GREETINGS: the person estate of (name): Other powersCOMMAND YOU, that all business and excuses being laid aside, you and each of you attend before have been granted or conditions imposed as follows: WE a. Exclusive authority to give consent for and to require the conservatee to , the Honorable at the Court that the at County of receive medical treatment located conservator in good faith based on in room medical advice determines to of necessary even if the ,conservateeo'clock in the , on the day be , 20 at noon, and at any recessed objects, subject to the limitations stated in Probate Code section 2356. or adjourned date, to testify and give evidence as a witness in this action on the part of the (1) This treatment shall be performed by an accredited practitioner of the religion whose tenets and practices call for reliance on prayer alone for healing of which the conservatee was an adherent prior to the establishment of the conservatorship. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to (2) (If court order limits duration) This medical authority terminates on (date): the party on whoseto place conservatee in awas issued for facility described in Probate Code section 2356.5(b). behalf this subpoena care or nursing a maximum penalty of $50 and all damages sustained as a b. Authority result of your failure to comply. administration of medications appropriate for the care and treatment of dementia described c. Authority to authorize the in Probate Code section 2356.5(c). Powers to be exercised Witness, Honorable independently under Probate Code section 2590 as specified in Attachmentthe (specify , one of the Justices of 3d powers, restrictions, conditions, and limitations). Court in County, day of , 20 e. f. g. h. i. d.
Conditions relating to the care and custody of the property under Probate Code section 2402 as specified in Attachment 3e. Conditions relating to the care, treatment, education, and welfare of the conservatee under Probate Code section 2358 as specified in Attachment 3f. (Attorney must sign above and type name below) (For limited conservatorship only) Powers of the limited conservator of the person under Probate Code section 2351.5 as specified in Attachment 3g. (For limited conservatorship only) Powers of the limited conservator of the estate under Probate Code section Attorney(s) for 1830(b) as specified in Attachment 3h. Other (specify): 4. The conservator is not authorized to take possession of money or any other property without a specific court order. 5. Number of pages attached: _____ Office and P.O. Address Date:
(SEAL)
WITNESS, clerk of the court, with seal of the court affixed.
Telephone No.: Facsimile No.: E-Mail Address: This form may be recorded as notice of the establishment of a conservatorship of the estate as provided in Probate Code section 1875. Mobile Tel. No.: Form Adopted for Mandatory Use
Clerk, by
Judicial Council of California GC-350 [Rev. January 1, 2003]
, Deputy
Page 1 of 2 Probate Code, ยง 1834
LETTERS OF CONSERVATORSHIP
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CONSERVATORSHIP OF (Name): CONSERVATEE
CASE NUMBER:
LETTERS OF CONSERVATORSHIP AFFIRMATION
I solemnly affirm that I will perform according to law the duties of conservator limited conservator.
Executed on (date):
, at (place):
(SIGNATURE OF APPOINTEE)
CERTIFICATION
I certify that this document and any attachments is a correct copy of the original on file in my office, and that the letters issued to the person appointed above have not been revoked, annulled, or set aside, and are still in full force and effect.
Date:
Clerk, by
, Deputy
(SEAL)
GC-350 [Rev. January 1, 2003]
LETTERS OF CONSERVATORSHIP
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