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 FOR CLERK'S USE ONLY OR Respondent SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY In the Matter of the Estate of: Case Number: PB 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 UNDER PENALTY OF PERJURY 1. NOTICE. I delivered or mailed by first class mail, postage prepaid a copy of the Notice to Creditors to the following known creditors entitled to such notice (if you need more room, attach a sheet of paper): NAME ADDRESS DATE MAILED or DELIVERED 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. / / . Signature STATE OF COUNTY OF Print Name Subscribed and sworn to or affirmed before me this: (date) . by (notary seal) © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED Page 1 of 1 Deputy Clerk or Notary Public PBIP45f 050115 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com PNM