On May 24, 2021 a
No Value
was filed
involving a dispute between
Department Of Health Care Services,
Tolbert Susie Renee,
and
for Decedent's Estate (General Jurisdiction)
in the District Court of Los Angeles County.
Preview
. tFeb..28. 2022 8:59AM No.1089 P. 2/4
DE-160ch-o4o
ATTORNEY DR PARTY WITHOUT MTDRNEV (New, State sum and m); roe " use on"
SUSie Renee Talbert
15050 Monte WSta Ave SPC 184
Chino Hills, CA 31709
mm Fax nu. (mm:
EMAIL ADDR$$(0W|I9~'
Nu: 6259756937
estateofiudv©umaiLcom
FILE D
S rior Court of California
Armrtuev Port (untrue): Pro Per
fiunty of Los Anoeies
SUPERIOR COURT OF CALIFORNIA. COLIN" 0F Los Annalee
s'reeerAnDRESS 111 N Hill St AUG 3 O 2022
MAILING ADDRESS: 111 N HIlI St
ClTY AND ZIP DDDEILDS Anaeles. CA 90012 Sherri R Carter; Executive Glitter/Clerk at Court
mum NAME: Stanley Meek
By: M. Term, Deputy
ESTATE OFmame):
E
Judlth Ann Eatmon
[X] DECEDENT CONSERVATEE [:1 MINOR
CASE NUMBER:
INVENTORY AND APPRAISAL
'3] PM" 1 '3 Corrected
218TP305071
mwmwmtmmmmcrmwfinw
[:| Final |:] Reappraisal for Sale muww:
(:1 Supplemental |:] Property Tax Certificate 312/2021
APPRAISALS
1. Total appraisal by representative, guardian, or conservator (Attachment 1): s _
0 _
2. Total appraisal by referee (Attachment 2): s 555 , 000 . 00
TOTAI; 5 555,000.00
DECLARATION OF REPRESENTATIVE, GUARDIAN. CONSERVATOR. OR SMALL ESTATE CLAIMANT
3. Attachments 1 and 2 together with all prior inventories tiled contain a true statement or
IE] all |:]
a portion of the estate that has come to my knowledge or possession, including particularly all money and all
just claims the estate has against me. I have truly. honestly, and impartially appraised to the best of my ability each item set forth in
Attachment 1.
4. |:| No probate referee is required 1:
by order ofthe court dated (special):
5. Property tax certificate. certify that the requirements of Revenue and Taxation Code section 480
I
a. [j are not applicable because the decedent owned no real property in California atthe time of death.
b.
[K have been satisfied by the filing of a change of ownership statement with the county recorder or assessor of each county
in California in which the decedent owned property at the time of deem.
Ideclare under penalty of perjury under the laws of the State of California that the foregoing is true and con
'
Date: 2/2212022
Susie Renee Tolbelt
(TYPE OF! PRINT NAME; INCLUDE TITLE IF CORPOMTE OFFICER)
(SIGNATURE)
STATEMENT ABOUT THE BOND
(Complete in all cases. Must be signed by attorney for fiduciary, or by fiduciary without an attorney.)
6. [Z] Bond I5 waived, or the sole fiduciary Is a corporate fiduciary Or an exempt government agency.
7 [:1 Bond filed in the amount of $ [:1
Sufficient El
Insufficient
8. [:1 '
Receipts for: S have been filed with the mun for deposits in a labeled account at (spew
institua'on and location):
Date: 2/22/2022
Susie Renee Talbert
(TYPE 0R mm NAME)
, _,
(SIGNATURE OF ATTORNEY DR WITHOUT
page I. or a
INVENTORY AND APPRAISAL ""1""
mu'"m"""dhmw mfggg'fjgg-mwg
DEdGWGOOdD [R24 Jetway t. 29071
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Document Filed Date
August 30, 2022
Case Filing Date
May 24, 2021
Category
Decedent's Estate (General Jurisdiction)
Status
Under Court Supervision 12/13/2021
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. tFeb..28. 2022 8:59AM No.1089 P. 2/4 DE-160ch-o4o ATTORNEY DR PARTY WITHOUT MTDRNEV (New, State sum and m); roe " use on" SUSie Renee Talbert 15050 Monte WSta Ave SPC 184 Chino Hills, CA 31709 mm Fax nu. (mm: EMAIL ADDR$$(0W|I9~' Nu: 6259756937 estateofiudv©umaiLcom FILE D S rior Court of California Armrtuev Port (untrue): Pro Per fiunty of Los Anoeies SUPERIOR COURT OF CALIFORNIA. COLIN" 0F Los Annalee s'reeerAnDRESS 111 N Hill St AUG 3 O 2022 MAILING ADDRESS: 111 N HIlI St ClTY AND ZIP DDDEILDS Anaeles. CA 90012 Sherri R Carter; Executive Glitter/Clerk at Court mum NAME: Stanley Meek By: M. Term, Deputy ESTATE OFmame): E Judlth Ann Eatmon [X] DECEDENT CONSERVATEE [:1 MINOR CASE NUMBER: INVENTORY AND APPRAISAL '3] PM" 1 '3 Corrected 218TP305071 mwmwmtmmmmcrmwfinw [:| Final |:] Reappraisal for Sale muww: (:1 Supplemental |:] Property Tax Certificate 312/2021 APPRAISALS 1. Total appraisal by representative, guardian, or conservator (Attachment 1): s _ 0 _ 2. Total appraisal by referee (Attachment 2): s 555 , 000 . 00 TOTAI; 5 555,000.00 DECLARATION OF REPRESENTATIVE, GUARDIAN. CONSERVATOR. OR SMALL ESTATE CLAIMANT 3. Attachments 1 and 2 together with all prior inventories tiled contain a true statement or IE] all |:] a portion of the estate that has come to my knowledge or possession, including particularly all money and all just claims the estate has against me. I have truly. honestly, and impartially appraised to the best of my ability each item set forth in Attachment 1. 4. |:| No probate referee is required 1: by order ofthe court dated (special): 5. Property tax certificate. certify that the requirements of Revenue and Taxation Code section 480 I a. [j are not applicable because the decedent owned no real property in California atthe time of death. b. [K have been satisfied by the filing of a change of ownership statement with the county recorder or assessor of each county in California in which the decedent owned property at the time of deem. Ideclare under penalty of perjury under the laws of the State of California that the foregoing is true and con ' Date: 2/2212022 Susie Renee Tolbelt (TYPE OF! PRINT NAME; INCLUDE TITLE IF CORPOMTE OFFICER) (SIGNATURE) STATEMENT ABOUT THE BOND (Complete in all cases. Must be signed by attorney for fiduciary, or by fiduciary without an attorney.) 6. [Z] Bond I5 waived, or the sole fiduciary Is a corporate fiduciary Or an exempt government agency. 7 [:1 Bond filed in the amount of $ [:1 Sufficient El Insufficient 8. [:1 ' Receipts for: S have been filed with the mun for deposits in a labeled account at (spew institua'on and location): Date: 2/22/2022 Susie Renee Talbert (TYPE 0R mm NAME) , _, (SIGNATURE OF ATTORNEY DR WITHOUT page I. or a INVENTORY AND APPRAISAL ""1"" mu'"m"""dhmw mfggg'fjgg-mwg DEdGWGOOdD [R24 Jetway t. 29071 mmmramwv