On May 24, 2021 a
Complaint,Petition
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.
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NAME. ADDRESS, AND TELEPHONE NUMBER 0F ATrORNEY 0R PARTY WITHOUT ATTORNEY‘ STATE BAR NUMBER FOR COURTUSE ONLY
SUSIE RENEE TOLBERT
15050 MONTE VISTA AVE.,#1 84
CHINO HILLS, CA 91709 .. .
~ _
TELEpHoNE Na. 626-975-6937 Sugmm: (gash ml fieiimiia
E—MAIL ADDRESS (Optional):
COUth 0f L05 Angfles
PRO PER
ATTORNEY FomNamey IN ,
COUNTY OF LOS ANGELES JU N .l
U z U.z
SUPERIOR COURT OF CALIFORNIA, 1
COURTHOUSE ADDRESS: Sierr‘I R L‘art .E1‘8
'
'
'
U mceflcmk
er! line
t
111 N. HILL STREET
Los ANGELES, CA 90012 “y . Deputy
_ .
Alex Illarmo
ESTATE OF:
JUDITH ANN EATMON
\ g '
A CASE NUMBER.
SUPPLEMENT TO PETITION FOR PROBATE RE CHARACTER AND VALUE 21STP305971
OF DECEDENT’S PROPERTY (Item 3c of Petition for Probate) HEARING DATE:
07/01/2021
DEPT: TIME‘
67 8:30 A.M.
Petitioner, SUS'E RENEE TOLBERT , hereby supplements her/his response
(name)
t0 item 3(0) ofhis/her Petition for Probate filed herein as follows:
(A response 1's
requiredfor each line below. Ifyour response is zero, please write “0. ”)
Linc l Value ol‘dcccdcnl’s cash. bank accounts, and other personal property
$ 3b \ D DO .
Linc 2 Annual gross income from decedent‘s real estate (rental income. ctc.)
$ OO.
Linc 3 Annual gross income from decedent's personal property
dividends. clc.)
(intercsl income,
$
OD ‘
O 0O
Linc 4 Subtotal (add Lines l. 2, and 3 above)
s .7) LP
‘
l
'
Linc 5 Gross fair market value of decedent’s real estate
‘—\Lo D, cob oO
.
3 .
and other encumbrances on decedent’s
Linc 6 Balance of all mortuagcs
D real estate
Zip Lo. 000‘ OD
Linc 7 Net value of real estate
(subtract Linc6 from l,ine 5)
$
$ \q q ow. . w
Lino 8 TOTAL (add Lines 4 and 7) rowfiéfi 681:6 MoA-e $ \q 1. LO! 0 '
m
I declare under penalty 0f perjury under the laws 0f the State of California that thc foregoing is
true and correct of my own personal knowledge, except as to matters stated on information and
belief, and as to those matters I believe them to be true.
Dated: 6:222 'C
£22
L/90
SUSIE RENEE TOLBERT
LZ/O
Peti tiOflCI‘ (Typed or Printed Name)
Supplement to Petition for Probate re Property
PRO 034 PC 8802, 10450
02/12
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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“k N ‘5 (3‘9: O ~ NAME. ADDRESS, AND TELEPHONE NUMBER 0F ATrORNEY 0R PARTY WITHOUT ATTORNEY‘ STATE BAR NUMBER FOR COURTUSE ONLY SUSIE RENEE TOLBERT 15050 MONTE VISTA AVE.,#1 84 CHINO HILLS, CA 91709 .. . ~ _ TELEpHoNE Na. 626-975-6937 Sugmm: (gash ml fieiimiia E—MAIL ADDRESS (Optional): COUth 0f L05 Angfles PRO PER ATTORNEY FomNamey IN , COUNTY OF LOS ANGELES JU N .l U z U.z SUPERIOR COURT OF CALIFORNIA, 1 COURTHOUSE ADDRESS: Sierr‘I R L‘art .E1‘8 ' ' ' U mceflcmk er! line t 111 N. HILL STREET Los ANGELES, CA 90012 “y . Deputy _ . Alex Illarmo ESTATE OF: JUDITH ANN EATMON \ g ' A CASE NUMBER. SUPPLEMENT TO PETITION FOR PROBATE RE CHARACTER AND VALUE 21STP305971 OF DECEDENT’S PROPERTY (Item 3c of Petition for Probate) HEARING DATE: 07/01/2021 DEPT: TIME‘ 67 8:30 A.M. Petitioner, SUS'E RENEE TOLBERT , hereby supplements her/his response (name) t0 item 3(0) ofhis/her Petition for Probate filed herein as follows: (A response 1's requiredfor each line below. Ifyour response is zero, please write “0. ”) Linc l Value ol‘dcccdcnl’s cash. bank accounts, and other personal property $ 3b \ D DO . Linc 2 Annual gross income from decedent‘s real estate (rental income. ctc.) $ OO. Linc 3 Annual gross income from decedent's personal property dividends. clc.) (intercsl income, $ OD ‘ O 0O Linc 4 Subtotal (add Lines l. 2, and 3 above) s .7) LP ‘ l ' Linc 5 Gross fair market value of decedent’s real estate ‘—\Lo D, cob oO . 3 . and other encumbrances on decedent’s Linc 6 Balance of all mortuagcs D real estate Zip Lo. 000‘ OD Linc 7 Net value of real estate (subtract Linc6 from l,ine 5) $ $ \q q ow. . w Lino 8 TOTAL (add Lines 4 and 7) rowfiéfi 681:6 MoA-e $ \q 1. LO! 0 ' m I declare under penalty 0f perjury under the laws 0f the State of California that thc foregoing is true and correct of my own personal knowledge, except as to matters stated on information and belief, and as to those matters I believe them to be true. Dated: 6:222 'C £22 L/90 SUSIE RENEE TOLBERT LZ/O Peti tiOflCI‘ (Typed or Printed Name) Supplement to Petition for Probate re Property PRO 034 PC 8802, 10450 02/12