GC-112(A-2)
TEMPORARY CONSERVATORSHIP OF (Name): CONSERVATEE
CASE NUMBER:
DECLARATION CONTINUATION PAGE *
I (name):
declare as follows:
Date and signature are on the last page of this declaration. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:
(TYPE OR PRINT NAME OF DECLARANT)
(SIGNATURE OF DECLARANT)
* For use with form GC-112(A-1).
Page Form Approved for Optional Use Judicial Council of California GC-112(A-2) [New January 1, 2009] of
DECLARATION CONTINUATION PAGE
(Probate--Guardianships and Conservatorships)
Probate Code, ยง 2250; Cal. Rules of Court, rule 7.1062 www.courtinfo.ca.gov
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