1 2 3 4 CERT Name ____________________________________________________ Address _____________________________________________________ _____________________________________________________ City/State/Zip _____________________________________________________ Telephone _____________________________________________________ In Proper Person OR Attorney for 5 DISTRICT COURT 6 CLARK COUNTY, NEVADA 7 8 9 10 11 12 13 In the Matter of the Estate of _________________________________ Estate Name _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ Case No. CASE NO.____________ DEPT. NO.____________ Dept. No. Deceased. 14 15 16 17 CERTIFICATE OF MAILING I HEREBY CERTIFY that service of the Notice ___________________________ Document Title 18 19 20 21 22 23 24 __________________________ was made this Day day of depositing a copy of the same in the U.S. Mail, postage prepaid, Month , 20 Yr. , by Regular, Certified or Registered, return receipt requested, addressed to: _____________________________________________________________________ Name _____________________________________________________________________. DATED this Day day of Month , 20 Yr. . ________________________________ 25 26 Submitted By: 27 ______________________________ ______________________________ Name ______________________________ Address ______________________________ City, State & ZIP ______________________________ Telephone 28 Cert_Mail.doc/4/20/2005 American LegalNet, Inc. www.USCourtForms.com