DECLARATION OF WRITTEN ASSURANCE Probate

Cal. Form L-0169

California Superior Local Rules

Form Approved for Optional Use L-0169 [Rev. May 2023] DECLARATION OF WRITTEN ASSURANCE Probate Code § 3401 www.occourts.org ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address) FOR COURT USE ONLY TELEPHONE NO.: FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE STREET ADDRESS: 3390 Harbor Blvd. MAILING ADDRESS: 3390 Harbor Blvd.

CITY AND ZIP CODE: Costa Mesa, CA 92626-1554 BRANCH NAME: Costa Mesa Justice Complex CASE TITLE: CASE NUMBER DECLARATION OF WRITTEN ASSURANCE I, , the parent of, , a minor, declare that I am entitled to custody of the minor and that the total estate of the minor does not exceed five thousand dollars ($5,000) in value. I acknowledge I am required to hold the money or other property in the minor’s estate in trust for the minor’s benefit, and to account to the minor for the management of the money or other property when the minor reaches the age of majority.

This declaration is a written assurance to the person making the payment of money or delivery of other property pursuant to Probate Code

section 3401. 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 DECLARANT)

Document details

Collection	California Superior Local Rules
Citation	Cal. Form L-0169
Type	court_rule
Language	en
Format	pdf
Source	CA_LOCAL
Identifier	dea7f7aa0c3f52c6730a425e81ec3161bd325232

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