Nebraska State Court Form REQUIRED CERTIFICATE OF MAILING APPLICATION FOR APPROVAL OF ACCOUNTING AND/OR FEES CC 16:2.28 Neb. Rev. Stat. 24730-2601(10) Page 1 of 2 Certificate of Mailing Application for Approval of Accounting and/or Fees CC 16:2.28 Rev /16 IN THE COUNTY COURT OF IN THE MATTER OF Ward/Incapacitated Person/Protected Person Case CERTIFICATE OF MAILING APPLICATION FOR APPROVAL OF ACCOUNTING AND/OR FEES I, I mailed copies of the forms marked below to all interested persons* and bonding company, if any, at the addresses set forth below: Application for Approval of Accounting and/or Fees (CC 16:2.29)NAME(S) OF INTERESTED PERSON(S) ADDRESS(ES) See attached (more names and addresses than above)Date Signature(s) of Guardian(s) and/or Conservator(s)Print or Type Name of Guardian(s) and/or Conservator(s) Bar Number and Firm Name (attorneys only) Street Address/P.O. Box of Guardian(s) and/or Conservator(s)City/State/ZIP Code of Guardian(s) and/or Conservator(s) Phone E-mail Address American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 Certificate of Mailing Application for Approval of Accounting and/or Fees CC 16:2.28 Rev /16 *Interested persons are defined as:children and spouses;future heirs if the ward/incapacitated person/protected person would die without leaving avalid will (brothers and sisters who are adults, grandparents, etc.);a trustee of any trust executed by the ward/incapacitated person/protected person;if there are no individuals defined as 223interested persons224 above, include any person ororganization named as a 223devisee224 in the ward222s/incapacitated person222s/protected person222smost recent will;after death of the ward/incapacitated person/protected person, interested person alsoincludes the personal representative of a deceased ward222s/incapacitated person222s/protectedperson222s estate, the deceased ward222s/incapacitated person222s/protected person222s heirs in anintestate estate, and the deceased ward222s/incapacitated person222s/protected person222s deviseesin a testate estate;any governmental agency paying benefits on behalf of the ward/incapacitatedperson/protected person; andany person designated by order of the court to be an interested person. If there are no interested persons identified for a ward/incapacitated person/protected person, the court shall appoint a guardian ad litem (Nebraska Supreme Court Rule 247 6-1449(B)). The cost of the guardian ad litem may be taken from the assets of the ward/incapacitated person/protected person. American LegalNet, Inc. www.FormsWorkFlow.com