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):______________________________________ Self Representing: Petitioner Respondent SUPERIOR COURT OF ARIZONA MOHAVE COUNTY In the Matter of the Estate of Case Number: ________________________ NOTICE OF APPLICATION IN INFORMAL PROCEEDING ______________________________________ an Adult OR a Minor, deceased NOTICE IS GIVEN that ______________________________ (Name of Personal Representative) has filed an informal proceeding relating to this Estate as follows. (check one box): (check the box only if there is no Will) An Application for Appointment of Personal Representative without a Will, OR (check the box only if there is a Will) An Application for Informal Probate of a Will and for Appointment of Personal Representative. The Probate Registrar/Deputy Clerk will consider the Application on ____________________________ (date and time Personal Representative will go to court to file the Application) at the office of the Probate Registrar/Deputy Clerk, Superior Court of Arizona in Mohave County, at (select one): Mohave County Courthouse Clerk of Superior Court 401 E. Spring Street Kingman, AZ 86401 928-753-0713 Monday-Friday 8:00a-5:00p Mohave County Courthouse Clerk of Superior Court 2225 Trane Road Bullhead City, AZ 86442 928-758-0730 Monday-Friday 8:30a-12:00p, 1:30p-4:30p DATED: _____________________ Mohave County Courthouse Clerk of Superior Court 2001 College Drive Lake Havasu City, AZ 86404 928-453-0701 Monday-Friday 8:30a-12:00p, 1:30p-4:30p _____________________________________ Signature _____________________________________ Print Name 12/30/2010 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com