SDSC PR-121C (New 1/21) CONFIDENTIAL FINANCIAL STATEMENT COVERSHEET Prob. Code § 2620(c) &

Cal. Form PR-121C

California Superior Local Rules

CONFIDENTIAL SDSC PR-121C (New 1/21) CONFIDENTIAL FINANCIAL STATEMENT COVERSHEET Prob.

Code § 2620(c) & Optional Form SDSC Local Rules, rule 4.15.2 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): TELEPHONE NO.: FAX NO. (Optional): EMAIL ADDRESS (Optional): ATTORNEY FOR (Name): FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, CENTRAL COURTHOUSE, 1100 UNION ST., SAN DIEGO, CA CONSERVATORSHIP GUARDIANSHIP OF: CONFIDENTIAL FINANCIAL STATEMENT COVERSHEET CASE NUMBER NOTE: This form may only be used for guardianship/conservatorship accountings where the financial statements are being submitted confidentially.

The Financial Statement Coversheet (SDSC Form #PR-121) must be used in all other case types or in guardianships/conservatorships where the financial statements are not confidential. The financial statement for the accounting is attached. Accounting period: AFFIDAVIT RE CONFIDENTIALITY The attached financial statement(

s) contains the ward’s or conservatee’s social security number. The attached financial statement(

s) contains other personal information regarding the ward or conservatee that would not ordinarily be disclosed in a court accounting, an inventory and appraisal, or other nonconfidential pleadings filed in the action. Specify: Contains entire account number(s). Other: ______________________________________ VERIFICATION RE ELECTRONIC STATEMENTS The attached statements were received in electronic form and printed/attached without alteration. I/we declare under penalty of perjury under the laws of the State of California that the foregoi ng is true and correct.

Date: Type or print name of Guardian/Conservator Signature of Guardian/Conservator Type or print name of Guardian/Conservator Signature of Guardian/Conservator

Document details

Collection	California Superior Local Rules
Citation	Cal. Form PR-121C
Type	court_rule
Language	en
Format	pdf
Source	CA_LOCAL
Identifier	bb14b233b74232e4d29c919956c45b121c37da79

Source file is stored in the law ingest library (pdf).