Name of Person Filing Document: Your Address: Your City, State, Zip Code: Your Telephone Number: Attorney Bar Number (if applicable): SUPERIOR COURT OF ARIZONA PINAL COUNTY In the Matter of the Estate of an Adult a Minor, deceased ) ) ) ) PB 2 CLOSING STATEMENT and PROOF OF MAILING/DELIVERY CLOSING STATEMENT I am the Personal Representative of this Estate, and I make these statements under oath. 1. Appointment as Personal Representative. I was appointed as the Personal Representative of (date), more than four months before the date of this Closing this Estate on Statement. 2. Notice to Creditors. The Notice to Creditors was published according to law. The first (date), more than four months before the date of publication occurred on this Closing Statement. 3. Administration of Estate. The Estate has been fully administered by making payment, settlement or other disposition of all expenses of administration, and all taxes and claims that have accrued against the Estate with the following exceptions: (List the exceptions.) ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 4. Distribution of Assets. I have distributed all of the assets of the Estate to the persons entitled to distribution. 5. Mailing Closing Statement. I am sending a copy of this Closing Statement to all of the people to whom I distributed property of this Estate, to all people whose interests are affected by the administration of the Estate, and to all creditors or other claimants whose claims against the Estate are not barred or were not paid. 6. Accounting. I have mailed or delivered a copy of the full written accounting of the Estate to the people whose interests are affected by the administration of the Estate, including guardians ad litem, conservators and guardians. Superior Court of Arizona in Pinal County July 8, 2009 ALL RIGHTS RESRVED PB Closing the Estate Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com 7. Claims. With respect to any claim listed above in paragraph 3 that has not been paid and that is not barred, I have distributed the Estate subject to possible liability, with the agreement of the distributees, or the following arrangements have been made to accommodate outstanding liabilities: (List arrangements.) ______________________________________________________________________________ Signature STATE OF ARIZONA COUNTY OF PINAL ) )ss. I, being duly sworn, state that I am the Personal Representative for the above Estate, and that the statements in the Closing Statement are accurate and complete to the best of my knowledge and belief. I also state that a copy of this closing statement was mailed to the following individuals on the date(s) and at the address(es) listed below. Name Address Date Mailed/Delivered Signature day of SUBSCRIBED AND SWORN TO before me this , 20 , By Deputy Clerk/Notary Public My Commission Expires: A copy of the Closing Statement was mailed to the following individuals: Name Superior Court of Arizona in Pinal County July 8, 2009 ALL RIGHTS RESRVED Address Date Mailed/Delivered PB Closing the Estate Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com