IN THE CIRCUIT COURT FOR FLORIDA IN RE: ESTATE OF COUNTY, PROBATE DIVISION File No. Division Deceased. PROOF OF SERVICE OF NOTICE OF ELECTION TO TAKE ELECTIVE SHARE Under penalties of perjury, I swear or affirm that on , ,a copy of the Personal Representative's Notice of Election to Take Elective Share and a copy of the Election to Take Elective Share filed by the surviving spouse in this proceeding were mailed by United States registered or certified mail, return receipt requested, postage prepaid, or were served in a manner permitted by Florida Probate Rule 5.040(a), to: The foregoing persons constitute all persons who may reasonably be expected to be affected by the outcome of this Election. Signed receipts or other evidence that service was made on each addressee or the addressee's agent are attached. Signed on this ________ day of _________________________, ________. ____________________________________________________________________________ Attorney for Personal Representative Email Addresses: _______________________________________ _______________________________________ Florida Bar No. (address) Telephone:______________________________ [Print or Type Names Under All Signature Lines] Bar Form No. P-4.0550 © Florida Lawyers Support Services, Inc. Revised January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com