Fillable Domestic Relations Case Final Disposition Information Form printable pdf download

Domestic Relations Case Final Disposition Information Form

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CONFIDENTIAL

DE-147S

end of the form when finished.

ESTATE OF (Name):

CASE NUMBER:

DECEDENT

CONFIDENTIAL STATEMENT OF BIRTH DATE

AND DRIVER'S LICENSE NUMBER

(Supplement to Duties and Liabilities of Personal Representative (Form DE-147))

(NOTE: This supplement is to be used if the court by local rule requires the personal representative to provide

a birth date and driver's license number. Do not attach this supplement to Form DE-147.)

This separate Confidential Statement of Birth Date and Driver's License Number contains confidential

information relating to the personal representative in the case referenced above. This supplement shall be

kept separate from the Duties and Liabilities of Personal Representative filed in this case and shall not be

a public record.

INFORMATION ON THE PERSONAL REPRESENTATIVE:

Name:

Date of birth:

3. Driver's license number:

State:

TO COURT CLERK:

THIS STATEMENT IS CONFIDENTIAL. DO NOT FILE

THIS CONFIDENTIAL STATEMENT IN A PUBLIC COURT FILE.

Form Adopted for Mandatory Use

Probate Code, § 8404

CONFIDENTIAL SUPPLEMENT TO DUTIES AND

Judicial Council of California

LIABILITIES OF PERSONAL REPRESENTATIVE

DE-147S [New January 1, 2001]

(Probate)

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Domestic Relations Case Final Disposition Information Form

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