GEORGIA PROBATE COURT STANDARD FORM DEFAULT CERTIFICATE (To be prepared by attorney for petitioner, or by pro se petitioner, when required by Uniform Probate Court Rule 13.) PROBATE COURT OF _____________________ COUNTY STATE OF GEORGIA IN THE MATTER OF: ) ) _______________________________________) (DECEASED) (MINOR) (INCAPACITATED ) ADULT) ) ) ) ESTATE NO. _______________ RE: (TYPE OF PETITION): ______________________________ ______________________________ ______________________________ I hereby certify that according to court records all interested parties have been served with notice in the above-referenced matter, as required by law. Such parties were served as follows: NAME OF PARTY TYPE OF SERVICE DATE OF SERVICE DEADLINE FOR RESPONSE AS STATED IN NOTICE I further certify that no objection or other defensive pleading has been filed by any interested party in this matter. This ________ day of ______________________, ________. __________________________________________ Signature __________________________________________ Printed Name Effective 7/91 1 GPCSF 52 2001 © American LegalNet, Inc. CERTIFICATE IN ACCORDANCE WITH UNIFORM PROBATE COURT RULE 21(F) I certify that the content of the foregoing is identical in all material respects with Georgia probate court standard form entitled Default Certificate, except for additions or deletions indicated as required by the Uniform Probate Court Rules. ______________________________ Date ______________________________ Signature of Attorney Address: Telephone Number: State Bar#: 2001 © American LegalNet, Inc.