ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) TELEPHONE NO: ATTORNEY FOR (NAME): FOR COURT USE ONLY FAX NO: SUPERIOR COURT OF CALIFORNIA COUNTY OF YUBA 215 FIFTH STREET, SUITE 200 MARYSVILLE, CA 95901 (530) 749-7600 IN THE MATTER OF THE PETITION OF: TO ESTABLISH THE FACT OF DEATH OF: NOTICE OF HEARING RE PETITION TO ESTABLISH FACT OF DEATH [H&S § 103450] CASE NUMBER: YOU ARE HEREBY NOTIFIED that a hearing in the above-entitled case has been scheduled in this Court as follows: DATE: TIME: DEPARTMENT: LOCATION: Yuba County Courthouse, 215 Fifth Street, Marysville, CA 95901 Dated: H. Stephen Konishi Clerk of the Superior Court By: ____________________ Court Clerk CERTIFICATE OF SERVICE BY MAIL [CCP §1013a(4)] I hereby certify that I am employed by Yuba County Superior Court. My business address is 215 Fifth Street, Suite 200 Marysville, California 95901. I am over 18 years of age and not a party to this cause. I further certify that on this date, I placed this document in an envelope, sealed the envelope, and placed it in the central mail depository for collection and processing by the County of Yuba for delivery to the U.S. Postal Service, addressed as follows: Dated: H. Stephen Konishi Clerk of the Superior Court By: ___________________ Court Clerk Yuba County Superior Court Effective 8/10/05 NOTICE OF HEARING RE PETITION TO ESTABLISH FACT OF DEATH [H&S § 103450] PR05012 American LegalNet, Inc. www.USCourtForms.com