SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION _________ INT/IDD _________ _________ ADM _________ _________ GDN _________ _________ TRP _________ _________ CON _________ _________ FEP _________ _________ SEB _________ In re: _______________________________________ Minor/Ward/Deceased/Other NOTICE OF DEATH OF FIDUCIARY The Clerk of this Court will please be advised that the Court-appointed fiduciary, _____________________________________________, who was [] [] [] [] [] [] [] the guardian of the minor, the guardian of this adult ward, the conservator of this adult ward, the Personal Representative of this estate, the Trustee of this trust, the conservator of the property of this adult ward (CON proceeding only), the conservator of the person of this adult ward (CON proceeding only), died on _____________________________, 20______. ____________________________________ Signature ____________________________________ Typed name ____________________________________ Address (actual address/not Post Office Box) ____________________________________ ____________________________________ ____________________________________ Telephone number ____________________________________ Email address ____________________________________ Bar number (if filer is an attorney) January 2014 ­ 151.10.v3 American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF SERVICE I certify that on the ____ day of ____________________, 20____, a copy of this filing was either eServed in accordance with the provisions of Administrative Order 13-15 or served by first class mail, postage prepaid, on the following persons (list names and complete mailing addresses): ____________________________________ Signature January 2014 ­ 151.10.v3 American LegalNet, Inc. www.FormsWorkFlow.com