STATE OF NEBRASKA CC 15:1 REV 03/16 DEMAND FOR NOTICE Neb. Rev. Stat. § 30-2413 IN THE COUNTY COURT OF _____________________________COUNTY, NEBRASKA CASE NUMBER IN THE MATTER OF THE ESTATE OF DEMAND FOR NOTICE , Deceased. 1. Pursuant to Nebraska Probate Code Section 30-2413, the undersigned demands mailed notice pursuant to Nebraska Probate Code Section 30-2220(a)(1) of any of the following Orders or filings pertaining to the estate of the deceased: Application for Informal Probate of Will Application for Informal Appointment of Personal Representative Inventory and any Supplemental Inventory Copy of published Notice to Creditors mailed within five days of publication Other (specify) 2. Demandant has the following financial or property interest in the estate of the deceased. 3. Demandant waives any publication of any notice pursuant to Nebraska Probate Code Section 30-2220(a)(2) with respect to each of the items for which notice is above demanded. 4. Notice should be mailed to the following-named Demandant or Demandant's attorney at the address below: Date Signature Demandant Name Bar Number and Firm Name (attorneys only) Demandant Street Address/P.O. Box Demandant City/State/ZIP Code Demandant Phone/Fax Page 1 of 2 Demand for Notice CC 15:1 Rev. 03/2016 Demandant E-mail Address American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF MAILING I certify that I have mailed a copy of this Demand for Notice, in accordance with the requirements of Nebraska Probate Code Section 30-2413, to ________________________________ , the Personal Representative of the deceased, first class mail, postage prepaid, at the following address, _______________________________________, Street Address/P.O. Box _______________________________________, on the _________ day of _________________, 20 _____. City/State/ZIP Code Date: _______________________ 20_____. _______________________________________ Clerk Magistrate Page 2 of 2 Demand for Notice CC 15:1 Rev. 03/2016 American LegalNet, Inc. www.FormsWorkFlow.com