COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. NOTICE OF FILING OF: FINAL SETTLEMENT JUDICIAL SUBPOENA Plaintiff(s) AND APPLICATION FOR DISTRIBUTION -against: (Sec. 473.587-.590 RSMo.) : No.__________________ : TO ALL PERSONS INTERESTED IN THE ESTATE OF Defendant(s) , Deceased. : ...................................................... Notice is hereby given that a final settlement and application for determination of the persons who are the successors in interest to the personal and real property of the decedent and of the extent and THE PEOPLE OF THE STATE OF NEW YORK character of their interests therein and for distribution of such property, will be filed in the Probate Division of the Circuit Court of Clay County, Missouri, at Liberty, by the undersigned on the _____ day of _________________, TO 20___, or as continued by the Court and that any objections or exceptions to such settlement or application or any item thereof must be in writing and filed within twenty (20) days after the filing of such settlement. GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Personal Representative___ , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock Phone No. noon, and at any recessed in the or adjourned date, to testify and give evidence as a witness in this action on the part of the Attorney Address Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Phone No. result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the ACKNOWLEDGEMENT OF SERVICE OF NOTICE day of , 20 Service of the within notice is acknowledged at , on (Attorney must sign above and type name below) Signature Attorney(s) for INSTRUCTIONS Publications of the notice must commence at least 29 days before the date in such notice and the 4 th publication must be at least 7 days before such date. Also, at least 15 Office and P.O. Address days before the date specified in the notice you shall send or cause to be sent, by ordinary mail, the same notice as the above to each heir and devisee then interested in the estate, and whose name and address is disclosed by the Court records, unless waived in writing. Proof of service and anyTelephone No.: be filed before final settlement waivers must Facsimile No.: is approved Form 542-D Revised 3/17/2003 E-Mail Address: Mobile Tel. No.: Page 1 of 2 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : CIRCUIT COURT OF CLAY COUNTY JUDICIAL SUBPOENA Plaintiff(s) PROBATE DIVISION -against- : PROOF OF MAILING OF COPY OF NOTICE OF FILING OF FINAL SETTLEMENT : AND APPLICATION FOR DISTRIBUTION (Sec. 473.587 RSMo.) : The undersigned, onDefendant(s) states that a copy of the notice as the same oath, hereby : . . . . . . . . . . .appears. on. the .reverse .side. hereof, . . . . .mailed by the undersigned on . . . . . . . . . . . . . . . . . . . . . . . . . . . . . was . . . . , by ordinary mail, according to law, to: NAME THE PEOPLE OF THE STATE OF NEW YORK ADDRESS TO GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Personal Representative Subscribed and sworn to before me on Commission expires Form 542-D Revised 3/17/2003 Office and P.O. Address , 20_____. Telephone No.: Notary Public Facsimile No.: E-Mail Address: Mobile Tel. No.: Page 2 of 2 American LegalNet, Inc. www.USCourtForms.com