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
DE-1 42IDE-1 11(A-3e)
I
ATTORNEY 0R PARTY WITHOUT ATTORNEY: STATE BAR N0~ FOR cougr use ONLY
:NAME. SUSIE RENEE TOLBERT
éIRM NAME N/A
STREET ADDRESS: 15050 MONTE VISTA AVE.,#184
envy; CHINO H|LL3 STATE CA ZIP CODE: 91709
TELEPHONE No‘: 626-975-6937 FAX N0: FILEilc)
superior con" o ‘ l'f
l 0r lia
E.MAIL ADDRESS
County o! Lo: Angeles
'
ATTORNEY Fomname): lN PRO PER
SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F LOS ANGELES JUN 1 0 2021
STREET ADDRESS, 111 N. HILL STREET
R Latter
-
Officer‘ '
[C |ka
MAILING ADDRESS;
cm AND ZIP CODE: LOS ANGELES. CA 90012
Sherri
r111“ 4“ D epu ‘ y
'
By V ,
BRANCH NAME'
Alex Villarino
'
ESTATE OF (Name):
JUDITH ANN EATMON ,DECEDENT
CASE ”UMBER
WAIVER 0F BOND BY HEIR 0R BENEFICIARY
D Attachment 3e to Petition for Probate"
21 STP805071
NOTICE: READ PARAGRAPHS A—G BEFORE YOU SIGN
A. A bond is a form of insurance to replace assets that may be mismanaged or stolen by the executor or administrator (the estate's
personal representative). The cost of the bond is paid from the assets of the estate.
B. A bond may not be required if the decedent's will admitted to probate waives a bond and the court approves.
C. If the decedent's does not waive bond, or if the decedent died without a will, the law ordinarily requires the personal
will
representative to give a bond approved and ordered by the court. However, all persons eligible to receive a share of the estate
may waive the requirement of a bond. If they all waive bond and the court approves. the personal representative will NOT have
to give a bond.
D. If bond not ordered by the court, and the estate suffers loss because the personal representative fails to properly
is
perform the duties of the office, the loss or some part of it may not be recoverable from the personal representative.
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
representative or to the petitioner‘s attorney. Your waiver cannot be withdrawn after the court appoints the personal
representative without requiring a bond. However, if you sign a waiver of bond. you may later petition the court to require a
bond.
F. A guardian ad litem or other legal representative with specific authority under law to waive bond must sign for a minor. an
incapacitated person, an unascertained beneficiary. or a designated class of persons who are not ascertained or not yet
in being.
See Judicial Council forms DE-350 and DE-351 and Probate Code section 1003.
G. you do not understand this form, do not sign it until you have asked a lawyer (who
If
is independent of the lawyer for the
proposed personal representative) to explain it to you.
WAIVER
1. I have read and understand paragraphs A through G above.
2. Iunderstand that before signing this form, I am free to consult with a lawyer of my choice concerning the possible
consequences to me of waiving bond.
3, Iunderstand that do not have to waive bond to allow the estate administration to begin or proceed, or to receive
I
my
‘
share of the estate.
4. IWAIVE the posting of bond in this estate by (name ofpersonal representative):
Date:é-/,p’1(
L/90
JERRY EATMON JR. ’fl‘lm // {‘ij é
7 /
LZ/O
(TYPE OR PRINT NAME 0F BENEFICIARY (AND AUTHORIZED (SIGNATURE)
SIGNER, IF BENEFICIARY IS NOT AN INDIVIDUAL»
*(This form may be filed as an independent form (as form DE-142) OR
as Attachment 3e(2) (will) orAttachment 3e(3) (intestacy) to the Petition for Probate (form DE-1 11) (as form DE-111(A-3e).)
Probate Code. §8481
Form Adoptedfor Mandatory Use
Judicial Cmncil of California
WAIVER OF BOND BY HEIR OR BENEF'CIARY www.couns‘cav ov
06-142JDE-111(A-3e)IRev.July1.20171 (Probate—Decedents Estates) page
l
or
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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DE-1 42IDE-1 11(A-3e) I ATTORNEY 0R PARTY WITHOUT ATTORNEY: STATE BAR N0~ FOR cougr use ONLY :NAME. SUSIE RENEE TOLBERT éIRM NAME N/A STREET ADDRESS: 15050 MONTE VISTA AVE.,#184 envy; CHINO H|LL3 STATE CA ZIP CODE: 91709 TELEPHONE No‘: 626-975-6937 FAX N0: FILEilc) superior con" o ‘ l'f l 0r lia E.MAIL ADDRESS County o! Lo: Angeles ' ATTORNEY Fomname): lN PRO PER SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F LOS ANGELES JUN 1 0 2021 STREET ADDRESS, 111 N. HILL STREET R Latter - Officer‘ ' [C |ka MAILING ADDRESS; cm AND ZIP CODE: LOS ANGELES. CA 90012 Sherri r111“ 4“ D epu ‘ y ' By V , BRANCH NAME' Alex Villarino ' ESTATE OF (Name): JUDITH ANN EATMON ,DECEDENT CASE ”UMBER WAIVER 0F BOND BY HEIR 0R BENEFICIARY D Attachment 3e to Petition for Probate" 21 STP805071 NOTICE: READ PARAGRAPHS A—G BEFORE YOU SIGN A. A bond is a form of insurance to replace assets that may be mismanaged or stolen by the executor or administrator (the estate's personal representative). The cost of the bond is paid from the assets of the estate. B. A bond may not be required if the decedent's will admitted to probate waives a bond and the court approves. C. If the decedent's does not waive bond, or if the decedent died without a will, the law ordinarily requires the personal will representative to give a bond approved and ordered by the court. However, all persons eligible to receive a share of the estate may waive the requirement of a bond. If they all waive bond and the court approves. the personal representative will NOT have to give a bond. D. If bond not ordered by the court, and the estate suffers loss because the personal representative fails to properly is perform the duties of the office, the loss or some part of it may not be recoverable from the personal representative. 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 representative or to the petitioner‘s attorney. Your waiver cannot be withdrawn after the court appoints the personal representative without requiring a bond. However, if you sign a waiver of bond. you may later petition the court to require a bond. F. A guardian ad litem or other legal representative with specific authority under law to waive bond must sign for a minor. an incapacitated person, an unascertained beneficiary. or a designated class of persons who are not ascertained or not yet in being. See Judicial Council forms DE-350 and DE-351 and Probate Code section 1003. G. you do not understand this form, do not sign it until you have asked a lawyer (who If is independent of the lawyer for the proposed personal representative) to explain it to you. WAIVER 1. I have read and understand paragraphs A through G above. 2. Iunderstand that before signing this form, I am free to consult with a lawyer of my choice concerning the possible consequences to me of waiving bond. 3, Iunderstand that do not have to waive bond to allow the estate administration to begin or proceed, or to receive I my ‘ share of the estate. 4. IWAIVE the posting of bond in this estate by (name ofpersonal representative): Date:é-/,p’1( L/90 JERRY EATMON JR. ’fl‘lm // {‘ij é 7 / LZ/O (TYPE OR PRINT NAME 0F BENEFICIARY (AND AUTHORIZED (SIGNATURE) SIGNER, IF BENEFICIARY IS NOT AN INDIVIDUAL» *(This form may be filed as an independent form (as form DE-142) OR as Attachment 3e(2) (will) orAttachment 3e(3) (intestacy) to the Petition for Probate (form DE-1 11) (as form DE-111(A-3e).) Probate Code. §8481 Form Adoptedfor Mandatory Use Judicial Cmncil of California WAIVER OF BOND BY HEIR OR BENEF'CIARY www.couns‘cav ov 06-142JDE-111(A-3e)IRev.July1.20171 (Probate—Decedents Estates) page l or