NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NUMBER FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES COURTHOUSE ADDRESS: MATTER OF: CASE NUMBER: PROPOSED NOTICE TO CREDITORS OF TRUST NO HEARING REQUIRED 1. The undersigned is the trustee of (Name of Trust) dated (Date of Trust) . 2. 3. 4. 5. One or both of the settlors are deceased. No petition for probate of a deceased settlor's estate is pending. The undersigned wishes to initiate a trust claims proceeding under Probate Code § 19000 et seq. The proposed Notice to Creditors, in the form specified in Probate Code §§ 19040 and 19052, is attached hereto. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: Trustee's Signature Type or Print Trustee's Name Attorney's Signature Type or Print Attorney's Name Proposed Notice to Creditors of Trust PRO 043 02/12 Probate Code § 19000 et seq. American LegalNet, Inc. www.FormsWorkFlow.com