ESTATE OF (Name):

CASE NUMBER:

CONFIDENTIAL

DE-147S

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:

1.

Name:

Date of birth:

2.

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  
Judicial Council of California 
DE-147S [New January 1, 2001]

CONFIDENTIAL SUPPLEMENT TO DUTIES AND 
LIABILITIES OF PERSONAL REPRESENTATIVE 
(Probate)

Probate Code, § 8404



Confidential Supplement to Duties and Liabilities of Personal Representative

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• Sourced from selfhelp.courts.ca.gov (2023-03)
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