Proof Of Delivery Or Mailing Or Publishing Notice To Creditors

Name of Person Filing: ________________________________________ Mailing Address: ________________________________________ City, State, and Zip Code: ________________________________________ Day/Evening Phone Number: ________________________________________ ATLAS Number (if applicable):________________________________________ State Bar Number (if applicable):______________________________________ Self Representing: Petitioner Respondent For Clerk's Use Only SUPERIOR COURT OF ARIZONA MOHAVE COUNTY Case Number: ________________________ In the Matter of the Estate of ____________________________ an Adult or a Minor, deceased PROOF OF DELIVERY OR MAILING OR PUBLISHING NOTICE TO CREDITORS OF INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE AND/OR INFORMAL PROBATE OF A WILL 1. NOTICE. I delivered or mailed by first class mail, postage prepaid a copy of the Notice to Creditors to the following know creditors entitled to such notice. (If you need more room, attach a sheet of paper): DATE MAILED OR DELIVERED __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ NAME ADDRESS 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.__________________ STATE OF ARIZONA ) COUNTY OF MOHAVE ) ss. Signature: _____________________________________________ Date:__________________________ SUBSCRIBED AND SWORN TO before me this _____________, day of _________________, 20________ By:_______________________________________ My Commission Expires:______________________ _____________________________________ Deputy Clerk/Notary Public 3/10/09 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com