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. 66-150
ATTORNEY 0R PARTY WITHOUT A1TORNEY (name, addmes, aw State Bar number):
Mar recording, reaum lo:
Frances Cardenas Barraentes
5205 San Bemardino St. Apt 503 E
Montclair .
CA 91763
TEL No‘: (909) 546'9298 FAx N0. (optional):
EMAIL ADDRESS (opfional):
lofissah2003@gmai|_mm
ATFORNEY FOR (name):
SUPERIOR count 0F CALIFORNIA. comm! 0F San Bemafdino
STREET ADDRESS: 247 W. 3rd Street. 2nd Floor
MAILING ADDRESS:
cn‘Y AND zu= cone: San Bemardino. CA 9241 5-0212
BRANCH NAME: Probate Division FOR RECORDER's use ONLY
TEMPORARY E
GUARDIANSHIP CONSERVATORSHIP
OF (name): MMnmm.Anam Froddiocmorlom.smmynn emu.L-yusmlmeom.
E CASE NUMBER:
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CONSERVATEE
LETTERS OF TEMPORARY
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GUARDIANSHIP
Person
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SAN BERNARD'NO DISTRICT
1. (Name): Frances Cardenas Banaentes
E
is appointed temporary
estate 0f (name): Adrian David Flores
E guardian D
Andrew Freddie Chato Flores, Sadie
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conservator ofthe E person
JUL 1
5 2021
Jazzalynn Gomez, Layla Serenitee Gomez, Kandiee Zanayah
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2. EE Blu Gomez and Kingg Aayden Peter Gomez
Other powers that have been granted or restrictions imposed on the temporary
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EHQTTNEY SPEARC
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E guardian
specified below:
conservator are specified in Attachmentz.
3. These Letters shall expire
E
a. on (date): or upon earlier issuance of Letters to a general guardian or conservator.
E
b. on other date (specify):
4. E The temporary
without a specific court order.
E guardian E oonsewator is not authorized to take possession of money or any other property
5. Number of pages attached: o
'
WITNESS, clerk of the court, with sefl'thi xed.
Date: NANCY CS EBERHARDT
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Clerk, by
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Thls form may be recorded as notice of tho osubllshment of a temporary conservatorshlp of flu astute as provldcd In Probm Code section 1875.
Form Adopted for Mandatory Use
Judicial Council of California
LETTERS OF TEMPORARY GUARDIANSH'P OR Probate Code, §§ 2250 et seq, 2890—2893;
Code of Civil Procedure, § 2015.6
Gc-150 [Rev. January 1, 2015] CONSERVATORSHIP www‘couns‘oagov
(Probate—Guardlanshlps and Conservatorshlps)
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TEMPORARY E GUARDIANSHIP E
CONSERVATORSHIP cAsE numaeaz
0F(nam9)iwdanoavidfionc,mruw FmddioMFIomfiodemlynn em,uyla5nnmooom
Kandloo Zanuyah Blu Gomez and Kim Myden Pater Gomez MINOR m
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NOTICE TO INSTITUTIONS AND FINANCIAL INSTITUTIONS
(Probate Code sections 2890-2893)
When these Letters of Temporary Guardianship or Letters of Temporary Conservatorship (Letters) are delivered to you as an employee
or other representative of an institution or financial institution (described below) in order for the temporary guardian or temporary
conservator of the estate (1) to take possession or control of an asset of the minor or oonservatee named above held by your institution
(including changing title, withdrawing all or any portion of the asset, or transferring all or any portion of the asset) or (2) to open or
change the name of an account or a safe-deposit box in your financial institution to reflect the guardianship or conservatorship, you
must fill out Judicial Council form GC-050 (for an institution) or form GC-051 (for a financial institution). An officer authorized by your
institution or financial institution must date and sign the form, and you must file the completed form with the court.
There is no filing fee for filing the form. You may either arrange for personal delivery of the form or mail it to the court for filing at the
address given for the court on page 1 of these Letters.
The temporary guardian or temporary conservator should deliver a blank copy of the appropriate form to you with these Letters, but it is
your institution’s or financial institution’s responsibility to complete the correct form, have an authorized officer sign it, and file the
completed form with the court. If the correct form is not delivered with these Letters or is unavailable for any other reason, blank copies
of the forms may be obtained from the court. The forms may also be accessed from the judicial branch's public Web site free of charge.
The Internet address (URL) is www.courts.ca.gowforms/. Select the form group Pmbate—Guardianships and Conservatorships and
scroll down to form GC—050 for an institution or form GC-051 for a financial institution. The forms may be printed out as blank forms and
filled in by typewriter, or may be filled out online and printed out ready for signature and filing.
An institution under California Probate Code section 2890(c) is an insurance company. insurance broker, insurance agent, investment
company, investment bank, securities broker-dealer, investment adviser, financial planner, financial advisor, or any other person who
takes, holds, or controls an asset subject to a conservatorship or guardianship other than a financial institution. Institutions must file a
Notice of Taking Possession or Control of an Asset of Minor or Conservatee (form GC-050) for an asset of the minor or conservatee
held by the institution. A single form may be filed for all affected assets held by the institution.
A financial institutionunder California Probate Code section 2892(b) is a bank, trust (including a Totten trust account but excluding
other trust arrangements described in Probate Code section 82(b)), savings and loan association, savings bank. industrial bank, or
credit union. Financial institutions must file a Notice of Opening or Changing a Guardianship or Conservatorship Account or Safe-
Deposit Box (form GC-051) for an account or a safe deposit box held by the financial institution. A single form may be filed for all
affected accounts or safe deposit boxes held by the financial institution.
LETTERS OF TEMPORARY E GUARDIANSHIP
AFFIRMATION
E CONSERVATORSHIP
| solemnly affirm that l will perform according to law the duties of temporary m guardian. D conservator.
Executed on (date): _ L \ ,at (place): \/ M1 ho W‘ t
:7
7
Frances Cardenas rraentes
(TYPE OR PRINT NAME)
(SIGNATURE OF APPOINTEE)
/
CERTIFICATION
Icertify that this document, including any attachments, is a correct copy of the original on file in my office and that the Letters issued to
the person appointed above have not been revoked, annulled, or set aside and are still in full force and effect.
(SEAL)
Date:
Clerk, by , Deputy
Gc'15°[R°"' ““8”" 2°15] LETTERS OF TEMPORARY GUARDIANSHIP OR CONSERVATORSHIP “9‘2““
(Probate—Guardlanshlps and Conservatorshlps)
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