For Clerk's Use Only Name of Person Filing: ________________________________________ Mailing Address: ________________________________________ City, State, and Zip Code: ________________________________________ Daytime Phone Number: ________________________________________ State Bar Number (if applicable):______________________________________ Represented by: Self (no Attorney) or Attorney SUPERIOR COURT OF ARIZONA MOHAVE COUNTY In the Matter of the Estate of Case Number: ________________________ _______________________________________ an Adult a Minor, deceased OBJECTION AND REQUEST FOR FORMAL PROCEEDING I want to tell the Court the following in response to what is written in the document or notice I received about the administration of this estate: 1. The name of the document or notice I object to: (name of document here) __________________________________________________________________________________ 2. My relationship to the person who died, the estate, or the personal representative is: (describe why you are interested in this case) __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ 3. What I want the Court to do, and what I want to say about the statements made in the document or notice: (use additional sheets of paper if needed) __________________________________________________________________________________ __________________________________________________________________________________ 4. Because I object to what is in the document or notice, I am asking the Court to set a formal proceeding of this case to listen to my objection. I am mailing a copy of this Objection when it is complete to: the Personal Representative or his/her attorney, and everyone to whom Personal Representative gave notice to, as indicated in the Proof of Notice filed by the Personal Representative with the Court. 5. OATH AND VERIFICATION OF PERSON WHO OBJECTS: STATE OF ARIZONA County of Mohave ) ) ss I have read the Objection and these statements are true and correct and complete to the best of my knowledge. Dated: ____________________________ ____________________________________________ Signature Subscribed and sworn to before me this _________________day of _____________, __________, by ________________________________________ My Commission Expires:__________________________ 11/18/2011 _____________________________________ Deputy Clerk / Notary Public Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com