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.
Preview
OKTKS’WVJV DE-111
ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NOV.
FOR COURT USE ONLY
NAME. SUSIE RENEE TOLBERT
FIRM NAME N/A
STREET ADDRESS
15050 MONTE VISTA AVE.. #1 84
cm: CHINO HILLS STATE: CA ZIP CODE: 91709
TELEPHONENOJ
E—MAIL ADDRESS:
6 2 6 ~77f‘ 6.637 FAX No.:
FILED _ ,
Sunerinr court ofcullmrm
ATTORNEY Fomname): IN PRO PER Cmmtv of Im Angeles
SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES
STREET ADDRESS: 111 N. HILL STREET MAY 24 2021
MAILING ADDRESS
Sherri Carter, Executive mcerIL‘lerk oi Court
cm! AND ZIP cone LOS ANGELES, CA 9001 2
BRANCH NAME: By . Deputy
Joseph Chavarin
ESTATE OF (name): JUDITH ANN EATMON
DECEDENT
PETITION FOR Probate of
Probate of
E
E Will
Lost Will and
and
for Letters
for Letters of Administration
Lost
Testamentary
CASENUMBQISTPBesgvi
with Will Annexed
x Letters of Administration
Letters of Special Administration a
with general powers HEARING DATE AND TIME‘ DEPT:
x Authorization to Administer Under the Independent
Administration of Estates Act a
With limited authority “IIIIZoZt 8-‘30q B7
be name of newspaper):
1.
a.
b-
E
Publication
E
will in (specify
Publication requested.
Publication to be arranged.
2. Petitioner (name each):
SUSIE RENEE TOLBERT
requests that
a. D decedent's will and codicils, if any, be admitted to probate.
be appointed
b.
E
(name):
D
(1) executor
annexed
E
(2)
D
(3)
(4)
administrator with
administrator
specialadministrator
will
[j with general powers
and Letters issue upon qualification.
.0
d.
Ea
E
(1)
E full limited authority
bond not be required for the
be granted to administer under the Independent Administration of Estates
reasons stated in item 3e.
Act.
Cj$
(2) bond be fixed. The bond will be furnished by an admitted surety insurer or as otherwise
provided by law. (Specify reasons in Attachment 2 if the amount is different from the maximum required by Prob.
Code, § 8482.)
(3) E] $ in deposits in a blocked account be allowed. Receipts will be filed.
and location):
(Specify institution
Decadent died on 03/02/2021 at (place): WHn‘rIER. CA
(1)
(2)
E
D
(date):
a resident of the county
a nonresident of California and
named above.
left an estate in the county named above located at (specify location permitting
publication in the newspaper named in item 1):
LZ/VZ/SO
b.
c.
D Decedent was a
Street address,
citizen of a country other than the United States (specify country):
and county of decedent's residence at time of death (specify):
city,
18133 ATINA DR.,ROWLAND HEIGHTS CA 91748
Page 1 of4
Probate Codel §§ 8002, 10450.
Form Adopted for Mandatory Use PETITION FOR PROBATE www.couns cagov
Judicual Council of Cahfomla
DE-111 (Rev. July 1, 2017] (Probate—Decedents Estates)
Document Filed Date
May 24, 2021
Case Filing Date
May 24, 2021
Category
Decedent's Estate (General Jurisdiction)
Status
Under Court Supervision 12/13/2021
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OKTKS’WVJV DE-111 ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NOV. FOR COURT USE ONLY NAME. SUSIE RENEE TOLBERT FIRM NAME N/A STREET ADDRESS 15050 MONTE VISTA AVE.. #1 84 cm: CHINO HILLS STATE: CA ZIP CODE: 91709 TELEPHONENOJ E—MAIL ADDRESS: 6 2 6 ~77f‘ 6.637 FAX No.: FILED _ , Sunerinr court ofcullmrm ATTORNEY Fomname): IN PRO PER Cmmtv of Im Angeles SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES STREET ADDRESS: 111 N. HILL STREET MAY 24 2021 MAILING ADDRESS Sherri Carter, Executive mcerIL‘lerk oi Court cm! AND ZIP cone LOS ANGELES, CA 9001 2 BRANCH NAME: By . Deputy Joseph Chavarin ESTATE OF (name): JUDITH ANN EATMON DECEDENT PETITION FOR Probate of Probate of E E Will Lost Will and and for Letters for Letters of Administration Lost Testamentary CASENUMBQISTPBesgvi with Will Annexed x Letters of Administration Letters of Special Administration a with general powers HEARING DATE AND TIME‘ DEPT: x Authorization to Administer Under the Independent Administration of Estates Act a With limited authority “IIIIZoZt 8-‘30q B7 be name of newspaper): 1. a. b- E Publication E will in (specify Publication requested. Publication to be arranged. 2. Petitioner (name each): SUSIE RENEE TOLBERT requests that a. D decedent's will and codicils, if any, be admitted to probate. be appointed b. E (name): D (1) executor annexed E (2) D (3) (4) administrator with administrator specialadministrator will [j with general powers and Letters issue upon qualification. .0 d. Ea E (1) E full limited authority bond not be required for the be granted to administer under the Independent Administration of Estates reasons stated in item 3e. Act. Cj$ (2) bond be fixed. The bond will be furnished by an admitted surety insurer or as otherwise provided by law. (Specify reasons in Attachment 2 if the amount is different from the maximum required by Prob. Code, § 8482.) (3) E] $ in deposits in a blocked account be allowed. Receipts will be filed. and location): (Specify institution Decadent died on 03/02/2021 at (place): WHn‘rIER. CA (1) (2) E D (date): a resident of the county a nonresident of California and named above. left an estate in the county named above located at (specify location permitting publication in the newspaper named in item 1): LZ/VZ/SO b. c. D Decedent was a Street address, citizen of a country other than the United States (specify country): and county of decedent's residence at time of death (specify): city, 18133 ATINA DR.,ROWLAND HEIGHTS CA 91748 Page 1 of4 Probate Codel §§ 8002, 10450. Form Adopted for Mandatory Use PETITION FOR PROBATE www.couns cagov Judicual Council of Cahfomla DE-111 (Rev. July 1, 2017] (Probate—Decedents Estates)