Supplemental Information For Application For Waiver Of Fees And Costs For Service Of Process And Or Publication {PBW13f}

Person Filing: Address (if not protected): City, State, Zip Code: Telephone: Email Address: Lawyer's Bar Number: Licensed Fiduciary Number: ____________________________________ Representing Self, without a Lawyer or Attorney for Petitioner OR FOR CLERK'S USE ONLY Respondent SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY In the Matter of: PB No: SUPPLEMENTAL INFORMATION FOR APPLICATION FOR WAIVER OF FEES AND COSTS FOR (check one or both) Service of Process Publication __________________________________________ A protected (or deceased) person Instructions: · · · · Check box 1 to request waiver of fees for Service of Process (personal service). Check all boxes that apply for Publication. Be sure to fill in the blanks for the boxes you check. After you have completed this form, take it to the Probate Clerk. You will sign the form on page 2 in front of the clerk. UNDER PENALTY OF PERJURY I STATE TO THE COURT: 1. The information stated below is true and correct. 2. I am the petitioner in this court case, and the filing fees have been waived by the court. 3. This information is given so I can proceed with serving a Notice of Hearing or Notice of Informal Appointment or Notice of Informal Probate in this court case, as provided by the statutes and the Rules of Court in Arizona. © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED STA Page 1 of 3 PBW13f 062413 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com Case No. _________________ REQUEST FOR WAIVER OF SERVICE OF PROCESS COSTS 1. (For guardianship or conservatorship cases only) A waiver of Service of Process costs is necessary because (check one): I have attempted to obtain voluntary acceptance of service of process without success on the person to be personally served with notice. It would be useless or dangerous for me to try to obtain voluntary acceptance of service by the person to be served because (explain here in detail) REQUEST FOR WAIVER OF COSTS TO PUBLISH NOTICE 2. A waiver of costs to publish notice is necessary because the residence and whereabouts of the party or parties entitled to notice are unknown to me and (check all that apply): The party or parties I must give notice to by publication are (list names and interest in this court case): NAME INTEREST IN CASE I have made a diligent search to find out the residence and whereabouts of the party or parties, but the search has failed to reveal any information concerning the party's or parties' residence or whereabouts. To the best of my knowledge, as of (date) the last address of (name) was: Regarding (name of who you tried to find) I have contacted the persons listed below to find out the location of: NAME ADDRESS , 20 , Regarding (name of who you tried to find) I have contacted the persons listed below to find out the location of: © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED STA PBW13f 062413 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 3 Case No. _________________ NAME ADDRESS If this is a case about probate of a will, I understand that the law requires a Notice to Creditors to be published once a week for three consecutive weeks. If this is a case for a formal proceeding to probate a will, I understand that the law requires that the Notice of Formal Appointment or Formal Probate must be published one time. I WILL PROMPTLY NOTIFY THE COURT IN WRITING IF ANY FINANCIAL CIRCUMSTANCES CHANGE DURING THE PENDENCY OF THIS COURT ACTION. IF THAT HAPPENS, I OR THE ESTATE MAY BE ABLE TO PAY THE FEES THAT HAVE BEEN WAIVED OR DEFERRED. Applicant's Signature SUBSCRIBED AND SWORN or affirmed and acknowledged before me this by day of 20 , . Notary Public My Commission Expires: © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED STA Page 3 of 3 PBW13f 062413 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com