Certificate Of Creditor Or Person Other Than A Distributee {CC-1609}

CERTIFICATE OF CREDITOR OR PERSON OTHER THAN A DISTRIBUTEE COMMONWEALTH OF VIRGINIA VA. CODE § 64.2-502 Court File No. ......................................................... Circuit Court of ................................................................................................................................................................................................................... Decedent's full name ...................................................................................................................................................................................................... I certify that I have made a diligent search to find an address for any sole distributee: [] OR I have given not less than thirty days notice by certified mail of my intention to apply for administration to the last known address or address of the distributee; [] I have been unable to find any such address. ................................................. DATE ................................................................................................... PRINTED NAME OF CREDITOR OR PERSON OTHER THAN A DISTRIBUTEE SIGNATURE OF REQUESTING PERSON FORM CC-1609 MASTER 10/12 American LegalNet, Inc. www.FormsWorkFlow.com