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Here is the text we could read:

ATTORNEY OR PARTY WITHOUT ATTORNEY

STATE BAR NUMBER:

FOR COURT USE ONLY

GC-410

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

EMAIL ADDRESS:

ATTORNEY FOR (name):

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

STATE:

FAX NO.:

ZIP CODE:

CONSERVATORSHIP

GUARDIANSHIP       OF (name):

CASE NUMBER:

REQUEST AND ORDER FOR WAIVER OF ACCOUNTING

HEARING DATE AND TIME:

DEPT.:

1. 

I, (name):

conservator or guardian of the estate                 and the person      of (name):

request that the court make an order waiving the accounting otherwise due on (date):

covering the period from                                               to (date):

(date):

.

2. 

The conservatee or ward named in 1 is now living at (residence address):

This address is the conservatee's or ward's personal residence.

3.

An Inventory and Appraisal of the estate was filed with the court on

(date):

.

4.  At both the beginning and the end of the period covered by this request, the estate had a total net value of less than $15,000, 

excluding the value of the personal residence described in 5b.
(Initial here to verify this statement):

5. The estate of the conservatee or ward contains the following property (check all that apply):

Cash or bank accounts in the amount of:

$

A personal residence. If not the residence listed in 2, the personal residence is located at (street address):

A verified copy of each of the following documents that applies to the residence is included as Attachment 5b:

A true copy of the most recent residential property tax bill;

A true copy of the declarations page from the current homeowner's insurance policy covering the residence;

A true copy of the most recent statement for any mortgage or loan secured by the residence; and

A true copy of the most recent fee or dues statement for any homeowners' association or similar association.

c.

Other real or personal property valued at:

$

 (describe the estate property here): 

a.

b.

(1)

(2)

(3)

(4)

Additional property is described on Attachment 5c.

6.  The estate's income for each month of the period covered by this request, excluding public benefits, was less than $2,000.

(Initial here to verify this statement):

Form Approved for Optional Use 
Judicial Council of California 
GC-410 [New January 1, 2020]

REQUEST AND ORDER FOR WAIVER OF ACCOUNTING

Page 1 of 2

Probate Code, § 2628; 
Cal. Rules of Court, rule 7.575(f) 
www.courts.ca.gov

$ $ $

$$

CONSERVATORSHIP

GUARDIANSHIP       OF (name):

CASE NUMBER:

GC-410

7.  During the period covered by this request, all the estate's income, if any, was used for the benefit of the conservatee or ward.

(Initial here to verify this statement):

8.  The estate receives the following income each month (list each source and amount, then give total amount):

Source of income (e.g., pension, trust, social security)

Amount

Additional sources and amounts of income are provided on Attachment 8.

TOTAL (including all amounts from Attachment 8): $

9. 

Neither the sources nor the amounts of the estate's income are expected to change in the foreseeable future, except for automatic 
cost-of-living adjustments.

10. 

This request covers estate activity during the period shown in 1, which begins with (1) the end of the period covered by the last 
accounting filed with and approved by the court or (2) the date the court last made an order excusing an accounting under Probate 
Code section 2628, whichever is later, and ends on the date of the fiduciary's signature, below.

Date:

Date:

Date:

Date:

(TYPE OR PRINT NAME OF ATTORNEY)

(SIGNATURE OF ATTORNEY)

Each fiduciary must sign here and initial items 4, 6, and 7.

I declare under penalty of perjury under the laws of the State of California that the information provided on this form and on any 
attachment is true and correct.

(TYPE OR PRINT NAME OF FIDUCIARY)

(SIGNATURE OF FIDUCIARY)

(TYPE OR PRINT NAME OF FIDUCIARY)

(SIGNATURE OF FIDUCIARY)

The request for an order waiving the accounting for the period stated in item 1 is

granted

denied.

This order does not waive or excuse the requirement to file a final accounting in this matter.

ORDER

GC-410 [New January 1, 2020]

Page 2 of 2

REQUEST AND ORDER FOR WAIVER OF ACCOUNTING 
(Guardianships and Conservatorships)

JUDICIAL OFFICER

Request and Order for Waiver of Accounting

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 2
Fields(s): 72
Average fields per page: 36
Reading Level: Grade 8
LIST Grouping(s): Unknown

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

g_c_page_name was GC-410[0].Page1[0].Name1[0] (0.48 conf)
c_page_p_party_info_bar was GC-410[0].Page1[0].p1Caption[0].AttyPartyInfo[0].AttyBarNo[0] (0.38 conf)
c_page_p_party_info_name was GC-410[0].Page1[0].p1Caption[0].AttyPartyInfo[0].Name[0] (0.37 conf)
c_page_p_party_info_firm was GC-410[0].Page1[0].p1Caption[0].AttyPartyInfo[0].AttyFirm[0] (0.37 conf)
c_page_p_party_info_street was GC-410[0].Page1[0].p1Caption[0].AttyPartyInfo[0].Street[0] (0.37 conf)
c_page_p_party_info_city was GC-410[0].Page1[0].p1Caption[0].AttyPartyInfo[0].City[0] (0.37 conf)
c_page_p_party_info_state was GC-410[0].Page1[0].p1Caption[0].AttyPartyInfo[0].State[0] (0.37 conf)
g_c_page_p_party_info__1 was GC-410[0].Page1[0].p1Caption[0].AttyPartyInfo[0].Zip[0] (0.37 conf)
c_page_p_party_info_phone was GC-410[0].Page1[0].p1Caption[0].AttyPartyInfo[0].Phone[0] (0.37 conf)
c_page_p_caption_party_info was GC-410[0].Page1[0].p1Caption[0].AttyPartyInfo[0].Fax[0] (0.37 conf)
c_page_p_party_info_email was GC-410[0].Page1[0].p1Caption[0].AttyPartyInfo[0].Email[0] (0.37 conf)
g_c_page_p_party_info__2 was GC-410[0].Page1[0].p1Caption[0].AttyPartyInfo[0].AttyFor[0] (0.37 conf)
c_page_p_court_info_county was GC-410[0].Page1[0].p1Caption[0].CourtInfo[0].CrtCounty[0] (0.38 conf)
c_page_p_caption_info_street was GC-410[0].Page1[0].p1Caption[0].CourtInfo[0].CrtStreet[0] (0.38 conf)
page_p_caption_court_info_mailing was GC-410[0].Page1[0].p1Caption[0].CourtInfo[0].CrtMailingAdd[0] (0.35 conf)
g_c_page_p_caption_court_info_crt_city_zip was GC-410[0].Page1[0].p1Caption[0].CourtInfo[0].CrtCityZip[0] (0.36 conf)
c_page_p_caption_court_info was GC-410[0].Page1[0].p1Caption[0].CourtInfo[0].CrtBranch[0] (0.38 conf)
g_c_page_p_case_number was GC-410[0].Page1[0].p1Caption[0].CaseNumber[0].CaseNumber[0] (0.36 conf)
c_page_p_title_party_name was GC-410[0].Page1[0].p1Caption[0].TitlePartyName[0].Name_CapTitle[0] (0.36 conf)
g_c_page_area_cap_title was GC-410[0].Page1[0].#area[0].CapTitle[0] (0.36 conf)
g_c_page_cap_title was GC-410[0].Page1[0].CapTitle[1] (0.36 conf)
g_c_page_capacity was GC-410[0].Page1[0].Capacity1[0] (0.33 conf)
g_c_page_duedate__1 was GC-410[0].Page1[0].Duedate1[0] (0.33 conf)
g_c_page_checkbox was GC-410[0].Page1[0].Checkbox[0] (0.33 conf)
g_c_page_cee_address was GC-410[0].Page1[0].CeeAddress1[0] (0.34 conf)
g_c_page_persresid_cb was GC-410[0].Page1[0].persresid_cb[0] (0.32 conf)
g_c_page_iand_adate was GC-410[0].Page1[0].IandAdate1[0] (0.33 conf)
g_c_page_iand_cb was GC-410[0].Page1[0].IandA_cb[0] (0.38 conf)
g_c_page_area_numeric_field__1 was GC-410[0].Page1[0].#area[1].NumericField1[0] (0.41 conf)
g_c_page_area_check_box__1 was GC-410[0].Page1[0].#area[1].CheckBox61[0] (0.37 conf)
g_c_page_duedate__2 was GC-410[0].Page1[0].Duedate1[1] (0.33 conf)
g_c_page_begin_date was GC-410[0].Page1[0].BeginDate1[0] (0.38 conf)
g_c_page_area_check_box__2 was GC-410[0].Page1[0].#area[2].CheckBox19[0] (0.37 conf)
g_c_page_area_petitioner_cb__1 was GC-410[0].Page1[0].#area[3].petitioner_cb[0] (0.32 conf)
g_c_page_area_petitioner_cb__2 was GC-410[0].Page1[0].#area[4].petitioner_cb[1] (0.32 conf)
g_c_page_area_petitioner_cb__3 was GC-410[0].Page1[0].#area[5].petitioner_cb[2] (0.32 conf)
g_c_page_area_petitioner_cb__4 was GC-410[0].Page1[0].#area[6].petitioner_cb[3] (0.32 conf)
g_c_page_text_field__1 was GC-410[0].Page1[0].TextField6[0] (0.41 conf)
g_c_page_hrg_date_time was GC-410[0].Page1[0].HrgDateTime[0] (0.41 conf)
g_c_page_hrg_dept was GC-410[0].Page1[0].HrgDept[0] (0.33 conf)
g_c_page_area_numeric_field__2 was GC-410[0].Page1[0].#area[7].NumericField2[0] (0.41 conf)
g_c_page_area_check_box__3 was GC-410[0].Page1[0].#area[7].CheckBox61[1] (0.37 conf)
g_c_page_text_field__2 was GC-410[0].Page1[0].TextField6[1] (0.41 conf)
g_c_page_area_checkbox was GC-410[0].Page1[0].#area[8].Checkbox[1] (0.33 conf)
g_c_page_text_field__3 was GC-410[0].Page1[0].TextField6[2] (0.41 conf)
g_c_page_text_field__4 was GC-410[0].Page1[0].TextField7[0] (0.41 conf)
g_c_title_party_name_cap__1 was GC-410[0].#subform[1].TitlePartyName[0].Name_CapTitle[0] (0.36 conf)
c_title_party_name_area_cap was GC-410[0].#subform[1].TitlePartyName[0].#area[0].CapTitle[0] (0.34 conf)
g_c_title_party_name_cap__2 was GC-410[0].#subform[1].TitlePartyName[0].CapTitle[1] (0.34 conf)
g_c_subform_case_number was GC-410[0].#subform[1].CaseNumber[0].CaseNumber[0] (0.37 conf)
g_c_subform_area_date__1 was GC-410[0].#subform[1].#area[0].Date[0] (0.32 conf)
g_c_subform_area_print_name__1 was GC-410[0].#subform[1].#area[0].PrintName[0] (0.32 conf)
g_c_subform_sourceofincome__1 was GC-410[0].#subform[1].Sourceofincome1[0] (0.32 conf)
g_c_subform_sourceofincome__2 was GC-410[0].#subform[1].Sourceofincome3[0] (0.32 conf)
g_c_subform_sourceofincome__3 was GC-410[0].#subform[1].Sourceofincome4[0] (0.32 conf)
g_c_subform_sourceofincome__4 was GC-410[0].#subform[1].Sourceofincome5[0] (0.32 conf)
g_c_subform_numeric_field__1 was GC-410[0].#subform[1].NumericField3[0] (0.42 conf)
g_c_subform_numeric_field__2 was GC-410[0].#subform[1].NumericField3[1] (0.42 conf)
g_c_subform_numeric_field__3 was GC-410[0].#subform[1].NumericField3[2] (0.42 conf)
g_c_subform_numeric_field__4 was GC-410[0].#subform[1].NumericField3[3] (0.42 conf)
g_c_subform_numeric_field__5 was GC-410[0].#subform[1].NumericField3[4] (0.42 conf)
g_c_subform_numeric_field__6 was GC-410[0].#subform[1].NumericField3[5] (0.42 conf)
g_c_subform_sourceofincome__5 was GC-410[0].#subform[1].Sourceofincome5[1] (0.32 conf)
g_c_subform_area_date__2 was GC-410[0].#subform[1].#area[1].Date[1] (0.32 conf)
g_c_subform_area_print_name__2 was GC-410[0].#subform[1].#area[1].PrintName[1] (0.32 conf)
g_c_subform_area_date__3 was GC-410[0].#subform[1].#area[2].Date[2] (0.32 conf)
g_c_subform_area_print_name__3 was GC-410[0].#subform[1].#area[2].PrintName[2] (0.32 conf)
g_c_subform_area_checkbox was GC-410[0].#subform[1].#area[3].Checkbox[0] (0.32 conf)
g_c_subform_text_field was GC-410[0].#subform[1].TextField6[0] (0.42 conf)
g_c_subform_hearing_date was GC-410[0].#subform[1].HearingDate[0] (0.29 conf)
g_c_subform_area_gran_den_cb__1 was GC-410[0].#subform[1].#area[5].GranDen_cb[0] (0.35 conf)
g_c_subform_area_gran_den_cb__2 was GC-410[0].#subform[1].#area[6].GranDen_cb[1] (0.35 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

c_page_p_party_info_bar
c_page_p_party_info_name
c_page_p_party_info_firm
c_page_p_party_info_street
c_page_p_party_info_city
c_page_p_party_info_state
c_page_p_party_info_phone
c_page_p_caption_party_info
c_page_p_party_info_email
c_page_p_title_party_name

Suggested Screen 1:

c_page_p_court_info_county
c_page_p_caption_info_street
page_p_caption_court_info_mailing
g_c_page_p_caption_court_info_crt_city_zip
c_page_p_caption_court_info

Suggested Screen 2:

g_c_page_p_case_number
g_c_page_area_cap_title
g_c_page_cap_title
g_c_page_capacity

Suggested Screen 3:

g_c_page_iand_adate
g_c_page_iand_cb
g_c_page_hrg_dept

Suggested Screen 4:

g_c_page_duedate__1
g_c_page_persresid_cb
g_c_page_duedate__2
g_c_page_area_petitioner_cb__1
g_c_page_area_petitioner_cb__2
g_c_page_area_petitioner_cb__3
g_c_page_area_petitioner_cb__4

Suggested Screen 5:

g_c_page_area_check_box__1
g_c_page_area_check_box__2
g_c_page_area_check_box__3

Suggested Screen 6:

g_c_page_area_numeric_field__1
g_c_page_text_field__1
g_c_page_area_numeric_field__2
g_c_page_text_field__2
g_c_page_text_field__3
g_c_page_text_field__4

Suggested Screen 7:

g_c_page_name
g_c_page_p_party_info__1
g_c_page_p_party_info__2
g_c_page_cee_address
g_c_page_begin_date
g_c_page_hrg_date_time
g_c_title_party_name_cap__1
c_title_party_name_area_cap
g_c_title_party_name_cap__2

Suggested Screen 8:

g_c_page_checkbox
g_c_subform_sourceofincome__1
g_c_subform_sourceofincome__2
g_c_subform_sourceofincome__3
g_c_subform_sourceofincome__4
g_c_subform_sourceofincome__5
g_c_subform_area_gran_den_cb__1
g_c_subform_area_gran_den_cb__2

Suggested Screen 9:

g_c_subform_numeric_field__1
g_c_subform_numeric_field__2
g_c_subform_numeric_field__3
g_c_subform_numeric_field__4
g_c_subform_numeric_field__5
g_c_subform_numeric_field__6
g_c_subform_text_field

Suggested Screen 10:

g_c_page_area_checkbox
g_c_subform_case_number
g_c_subform_area_date__1
g_c_subform_area_date__2
g_c_subform_area_date__3
g_c_subform_hearing_date

Suggested Screen 11:

g_c_subform_area_print_name__1
g_c_subform_area_print_name__2
g_c_subform_area_print_name__3

Suggested Screen 12:

g_c_subform_area_checkbox

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Request and Order for Waiver of Accounting

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02