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Fill and Sign the Duties and Liabilities of Personal Representative Form De

Fill and Sign the Duties and Liabilities of Personal Representative Form De

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C O NFID EN TIA LDE-1 47SESTA TE O F ( N am e):C ASE N UM BER :D EC ED EN TC O NFID EN TIA L S TA TE M EN T O F B IR TH D ATE AN D D RIV ER 'S L IC EN SE N UM BER(Supplement to Duties and Liabilities of Personal Representative (Form DE-147)) (N O TE : T his s u pple m ent is t o b e u se d if t h e c o urt b y lo ca l r u le r e quir e s t h e p ers o nal r e pre se nta tiv e t o p ro vid e a b ir th d ate a nd d riv e r's lic e nse n um ber. D o n ot a tta ch t h is s u pple m ent t o F orm D E-1 47.) T his s e p ara te C onfid entia l S ta te m ent o f B ir th D ate a nd D riv e r's L ic e nse N um ber c o nta in s c o nfid entia l in fo rm atio n r e la tin g to th e p ers o nal r e pre se nta tiv e in th e c a se r e fe re nce d a bove . T his s u pple m ent s h all b e kept s e p ara te fr o m th e D utie s a nd L ia bilit ie s o f P ers o nal R epre se nta tiv e file d in th is c a se a nd s h all n ot b e a p ub lic r e co rd .IN FO RM ATIO N O N T H E P ER SO NAL R EPR ESEN TA TIV E:1 - N am e:2 . D ate o f b ir th :3. D riv e r's lic e n se n um ber:S ta te :T O C O URT C LE R K: TH IS S TA TE M EN T I S C O NFID EN TIA L. D O N O T F IL E TH IS C O NFID EN TIA L S TA TE M EN T I N A P U BLIC C O URT F IL E . Form Adopted for Mandatory Use Judic ia l C ouncil o f C alif o rn ia DE -1 47S [N ew J a nuary 1 , 2 001] C O NFID EN TIA L S U PPLE M EN T T O D UTIE S A ND LIA BIL IT IE S O F P ER SO NA L R EPR ESEN TA TIV E (Pro bate ) Probate Code, § 8404electronic form 2000 WWW.LawCA.com Law Publishers

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