IN THE CIRCUIT COURT FOR FLORIDA IN RE: File No. COUNTY, PROBATE DIVISION Division an alleged incapacitated person PROOF OF SERVICE BY ELISOR OF PETITION TO DETERMINE INCAPACITY AND NOTICE OF PETITION Under penalties of perjury, I swear or affirm that on the Notice was read to , , copies of the Petition to Determine Incapacity and the Notice of Petition To Determine Incapacity were served on, and , the alleged incapacitated person. Signed on this _______ day of _______________________________, ____________. Signature Typed or printed name Address [Print or Type Names Under All Signature Lines] Bar Form No. G-2.026 � Florida Lawyers Support Services, Inc. Revised January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com