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
0‘5\M/ :2;-
~3 I
DE-142/DE-111(A-3e)
ATTORNEY 0R PARTY WITHOUT ATIORNEY; —§TATE BAR no. FOR COURT USE ONLY
85MB SUSIE RENEE TOLBERT
FIRM NAME N/A
smemooaess 15050 MONTE VISTA AVE.,#134
CITY: CHINO HILLS STATE: CA ZIP cooE: 91709
TELEPHONE No.: 626-975-6937 FAX No;
EMAIL ADDRESS: . -
moRNEYFomname): IN PR0 PER Sumner court of Califaraia
C°‘""y 0f 1“” Angel“
SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F Los ANGELES
STREETADDREss- 111 N. HILL STREET
JUN 1 0 2021
MAILING ADDRESS:
CITY AND ZIP CODE: LOS ANGELES. CA 90012 Sherrifljgfivncr. Lifeline Officer/Clcrk
BRANCH NAME:
ESTATE 0F (Name):
‘
By ”{E I
Alex Villarlno
.
.Deputy
JUDITH ANN EATMON .
DECEDENT
CASE NUMBER
WAIVER 0F BOND BY HEIR 0R BENEFICIARY 21 STPBO5071
[j Attachment 3e to Petition for Probate"
NOTICE: READ PARAGRAPHS A-G BEFORE YOU SIGN
a form of insurance to replace assets that may be mismanaged or stolen by the executor or administrator (the estate's
A. A bond is
persona! representative). Thg cost of the bond is paid from the assets of the estate.
W A bond may not be required if the decedent's win admitted to probate waives a bond and the court approves.
C. If does not waive bond, or if the decedent died without a will, the law ordinarily requires the personal
the decedent's will
eligible to receive a share of the estate
representative to give a bond approved and ordered by the court. However, all persons
waive bond and the court approves. the personal representative will NOT have
may waive the requirement of a bond. they
If all
to give a bond.
fails to properly
D. If bond not ordered by the court, and the estate suffers loss because the personal representative
is
may be recoverable from the personal representative.
perform the duties of the office, the loss or some part of it not
If so, your share of the estate may be partly or entirely lost.
E. You may waive the requirement bond by signing this form and delivering it to the petitioner for appointment of a personal
of a
court appoints the personal
representative or to the petitioner's attorney. Your waiver cannot be withdrawn after the
However, you sign a waiver of bond. you may later petition the court to require a bond.
representative without requiring a bond. if
for a minor, an
F. A guardian ad litem or other legal representative with specific authority under law to waive bond must sign
a designated class of persons who are not ascertained or not yet in being.
incapacitated person, an unascertained beneficiary, or
See Judicial Council forms DE-350 and DE-351 and Probate Code section 1003.
independent of the lawyer for the
G. If you do not understand this form, do not sign it until you have asked a lawyer (who
is
proposed personal representative) to explain it to you.
WAIVER
1. I have read and understand paragraphs A through G above.
understand that before signing this form, I am free to consult with a lawyer of my choice concerning the possible
2, l
consequences to me of waiving bond.
understand thatl do not have to waive bond to allow the estate administration to begin
or proceed, or to receive my
3, l
share of the estate.
4 IWAIVE the posting of bond in this estate by (name ofpersona/ representative):
L/90
LZ/O
::Z/:’/Y
(TYPE
gmm SW’
OR PRINT NAME OF BENEFICIARY (AND AUTHORIZED
{F BENEFICIARY IS NOT AN INDIVIDUAL»
> $\WK (SIGNATURE)
'U’VM
SIGNER.
'(This form may be filed as an Independent form (as form DE-142) OR
DE.1 11) (as form DE-111(A-3e).)
as Attachment 3e(2) (will) orAttachment 3e(3) (intestacy) to the Petition for Probate (form
Probate Code. §8481
Form Adopted for Mandatory Use WA|VER 0F BOND BY HEIR 0R BENEFICIARY www.couns.ca gov
Judicial Council of Ca!ifornia
(Probate—Decedents Estates) page oi;
oe142ms-nuAsenRev.July1.20171 I
Document Filed Date
June 10, 2021
Case Filing Date
May 24, 2021
Category
Decedent's Estate (General Jurisdiction)
Status
Under Court Supervision 12/13/2021
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0‘5\M/ :2;- ~3 I DE-142/DE-111(A-3e) ATTORNEY 0R PARTY WITHOUT ATIORNEY; —§TATE BAR no. FOR COURT USE ONLY 85MB SUSIE RENEE TOLBERT FIRM NAME N/A smemooaess 15050 MONTE VISTA AVE.,#134 CITY: CHINO HILLS STATE: CA ZIP cooE: 91709 TELEPHONE No.: 626-975-6937 FAX No; EMAIL ADDRESS: . - moRNEYFomname): IN PR0 PER Sumner court of Califaraia C°‘""y 0f 1“” Angel“ SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F Los ANGELES STREETADDREss- 111 N. HILL STREET JUN 1 0 2021 MAILING ADDRESS: CITY AND ZIP CODE: LOS ANGELES. CA 90012 Sherrifljgfivncr. Lifeline Officer/Clcrk BRANCH NAME: ESTATE 0F (Name): ‘ By ”{E I Alex Villarlno . .Deputy JUDITH ANN EATMON . DECEDENT CASE NUMBER WAIVER 0F BOND BY HEIR 0R BENEFICIARY 21 STPBO5071 [j Attachment 3e to Petition for Probate" NOTICE: READ PARAGRAPHS A-G BEFORE YOU SIGN a form of insurance to replace assets that may be mismanaged or stolen by the executor or administrator (the estate's A. A bond is persona! representative). Thg cost of the bond is paid from the assets of the estate. W A bond may not be required if the decedent's win admitted to probate waives a bond and the court approves. C. If does not waive bond, or if the decedent died without a will, the law ordinarily requires the personal the decedent's will eligible to receive a share of the estate representative to give a bond approved and ordered by the court. However, all persons waive bond and the court approves. the personal representative will NOT have may waive the requirement of a bond. they If all to give a bond. fails to properly D. If bond not ordered by the court, and the estate suffers loss because the personal representative is may be recoverable from the personal representative. perform the duties of the office, the loss or some part of it not If so, your share of the estate may be partly or entirely lost. E. You may waive the requirement bond by signing this form and delivering it to the petitioner for appointment of a personal of a court appoints the personal representative or to the petitioner's attorney. Your waiver cannot be withdrawn after the However, you sign a waiver of bond. you may later petition the court to require a bond. representative without requiring a bond. if for a minor, an F. A guardian ad litem or other legal representative with specific authority under law to waive bond must sign a designated class of persons who are not ascertained or not yet in being. incapacitated person, an unascertained beneficiary, or See Judicial Council forms DE-350 and DE-351 and Probate Code section 1003. independent of the lawyer for the G. If you do not understand this form, do not sign it until you have asked a lawyer (who is proposed personal representative) to explain it to you. WAIVER 1. I have read and understand paragraphs A through G above. understand that before signing this form, I am free to consult with a lawyer of my choice concerning the possible 2, l consequences to me of waiving bond. understand thatl do not have to waive bond to allow the estate administration to begin or proceed, or to receive my 3, l share of the estate. 4 IWAIVE the posting of bond in this estate by (name ofpersona/ representative): L/90 LZ/O ::Z/:’/Y (TYPE gmm SW’ OR PRINT NAME OF BENEFICIARY (AND AUTHORIZED {F BENEFICIARY IS NOT AN INDIVIDUAL» > $\WK (SIGNATURE) 'U’VM SIGNER. '(This form may be filed as an Independent form (as form DE-142) OR DE.1 11) (as form DE-111(A-3e).) as Attachment 3e(2) (will) orAttachment 3e(3) (intestacy) to the Petition for Probate (form Probate Code. §8481 Form Adopted for Mandatory Use WA|VER 0F BOND BY HEIR 0R BENEFICIARY www.couns.ca gov Judicial Council of Ca!ifornia (Probate—Decedents Estates) page oi; oe142ms-nuAsenRev.July1.20171 I