For Clerk's Use Only Name of Person Filing: ________________________________________ Mailing Address: ________________________________________ City, State, and Zip Code: ________________________________________ Day/Evening Phone Number: ________________________________________ State Bar Number (if applicable):______________________________________ Representing: Self (Without a Lawyer) OR Attorney for: Petitioner Respondent SUPERIOR COURT OF ARIZONA MOHAVE COUNTY In the matter of the Guardianship and/or Conservatorship of Case Number: _____________________________ AFFIDAVIT SUPPORTING PUBLICATION (Guardian/Conservator) _____________________________________ an Adult Minor Deceased 1. 2. I am the petitioner or applicant and make this Affidavit to show the circumstances why notice by publication was used, and to show how service by publication was done. Here are the names of people entitled to notice of this matter to whom I gave notice by publication: Name: ____________________________________________________________________________ Last known address: _________________________________________________________________ Last date I tried to find person __________________________________________________________ Relationship of person to the minor: _____________________________________________________ Name: ____________________________________________________________________________ Last known address: _________________________________________________________________ Last date I tried to find person __________________________________________________________ Relationship of person to the minor: _____________________________________________________ Name: ____________________________________________________________________________ Last known address: _________________________________________________________________ Last date I tried to find person __________________________________________________________ Relationship of person to the minor: _____________________________________________________ Name: ____________________________________________________________________________ Last known address: _________________________________________________________________ Last date I tried to find person __________________________________________________________ Relationship of person to the minor: _____________________________________________________ Revised: 5/4/2011 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Case No.______________________________ 3. 4. I made a diligent search to find out the residence and whereabouts of the people entitled to notice, but the search has failed to reveal any information concerning their residence or whereabouts. I contacted the persons listed below to find out the location of the following people entitled to notice: Name of person I am looking for: _______________________________________________________ Address of person I contacted: Name of person I contacted: _______________________________________________________ _______________________________________________________ Name of person I am looking for: _______________________________________________________ Address of person I contacted: Name of person I contacted: _______________________________________________________ _______________________________________________________ Name of person I am looking for: _______________________________________________________ Address of person I contacted: Name of person I contacted: _______________________________________________________ _______________________________________________________ Name of person I am looking for: _______________________________________________________ Address of person I contacted: Name of person I contacted: _______________________________________________________ _______________________________________________________ Name of person I am looking for: _______________________________________________________ Address of person I contacted: Name of person I contacted: _______________________________________________________ _______________________________________________________ 5. ABOUT THE PUBLICATION. NOTICE OF HEARING was published IN A NEWSPAPER IN THIS County on the following dates. A. _______________ B. _______________ C. _______________ PROOF OF PUBLICATION is attached. (Attach an Affidavit of Publication supplied by the newspaper that published the notice.) By signing this document, I state to the Court, under penalty of perjury, that the information presented is true and correct to the best of my knowledge and belief. __________________________________________ Petitioner's Signature Revised: 5/4/2011 _____________________________ Date Signed Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com