Name of Person Filing Document: ________________________________ Your Address: _________________________________________________ Your City, State, Zip Code: _______________________________________ Your Telephone Number: ________________________________________ Attorney Bar No. & Representing __________________________________
SUPERIOR COURT OF ARIZONA PINAL COUNTY
In the Matter of the Estate of ) )
) )
PB 2_______________________ PROOF OF DELIVERY OR MAILING OR PUBLISHING NOTICE TO CREDITORS OF INFORMAL APPOINTMENT OF PERSONAL REPRESENTAITVE AND/OR INFORMAL REPBATE OF A WILL
) _________________________________) [ ] an Adult or [ ] a Minor, deceased
STATE OF ARIZONA County of Pinal
) ) ss.
1.
Notice. I delivered or mailed by first class mail, postage prepaid a copy of the Notice to Creditors to the
following known creditors entitled to such notice (if you need more room, attach a sheet of paper): Name Address Date Mailed or Delivered
_______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________
2.
Publication. The Notice to Creditors was published in the following newspaper on the following dates. The Affidavit of Publication is filed separately. Name of newspaper: ___________________________________________________________________
Dates of publication: A. / / , B. / / , C. / / ,
Signature_________________________________
Print Name ________________________________
SUBSCRIBED AND SWORN TO before me this ____________ day of __________________________, 20_______. My Commission Expires: By _______________________________ Deputy Clerk / Notary Public
© Superior Court of Arizona in Pinal Count November 22, 2004 ALL RIGHTS RESERVED
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PB 2 Publication Use most current version