IN THE CIRCUIT COURT FOR FLORIDA IN RE: COUNTY, PROBATE DIVISION File No. Division an alleged incapacitated person PROOF OF SERVICE BY ELISOR OF PETITION TO DETERMINE INCAPACITY, PETITION FOR APPOINTMENT OF GUARDIAN, AND NOTICE Under penalties of perjury, I swear or affirm that on,, copies of the Petition to Determine Incapacity, the Petition for Appointment of Guardian, and the Notice of Petitions To Determine Incapacity and for the Appointment of Guardian were served on, and the Notice was read to , 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-2.025 � Florida Lawyers Support Services, Inc. Revised January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com