Name of Person Filing: ________________________________________ Mailing Address: ________________________________________ City, State, and Zip Code: ________________________________________ Day/Evening Phone Number: ________________________________________ ATLAS Number (if applicable):________________________________________ State Bar Number (if applicable):______________________________________ Self Representing: Petitioner Respondent For Clerk’s Use Only SUPERIOR COURT OF ARIZONA MOHAVE COUNTY Case Number: ________________________ In the Matter of the Estate of NOTICE TO CREDITORS OF INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE AND/OR INFORMAL PROBATE OF A WILL _______________________________________ an Adult or a Minor, deceased NOTICE IS GIVEN THAT: 1. PERSONAL REPRESENTATIVE: (Name) ________________________________________________ has been appointed Personal Representative of this Estate on (date). ___________________________ Address: ___________________________________________________________________________ 2. DEADLINE TO MAKE CLAIMS. All persons having claims against the Estate are required to present their claims within four months after the date of the first publication of this Notice or the claims will be forever barred. 3. NOTICE OF CLAIMS: Claims must be presented by delivering or mailing a written statement of the claim to the Personal Representative at (address) ________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ 4. NOTICE OF APPOINTMENT. A copy of the Notice of Appointment is attached to the copies of this document mailed to all known creditors. DATED: ________________________ ______________________________________ Personal Representative ______________________________________ Print Name 3/10/09 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com