Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Certificate Of Mailing (Testate) Form. This is a Nevada form and can be use in Clark County.
Tags: Certificate Of Mailing (Testate), Nevada County, Clark
1
2
3
4
5
6
CERT
_____________________________
Name
_____________________________
Address
_____________________________
City, State, Zip Code
_____________________________
Telephone number/E-mail Address
IN PROPER PERSON
7
DISTRICT COURT
8
CLARK COUNTY, NEVADA
9
10
11
12
In the Matter of the Estate of: )
)
) Case No. P__________
)
) Dept. No. PC-1
)
Deceased.
)
13
CERTIFICATE OF MAILING
14
I HEREBY CERTIFY that service of the Notice of Hearing re:
15
Petition to Prove Will and Set Aside the Estate Without
16
Administration was made this ____ day of ______________ (month),
17
18
20_____ (year), by depositing a copy of the same in the U.S.
19
Mail, postage prepaid, regular mail, addressed to:
20
statute to mail to Nevada State Welfare and all beneficiaries and heirs)
21
1.
State of Nevada Dept. of Health and Human Services,
Medicaid Estate Recovery, 1000 East Williams Street, #102,
Carson City, NV 89701
2.
___________________________________________________________
3.
___________________________________________________________
26
4.
___________________________________________________________
27
5.
___________________________________________________________
28
6.
___________________________________________________________
22
(you are required by
23
24
25
Page 1 of 2
T:PACKETS\FORM – Certificate of Mailing.Testate.doc
American LegalNet, Inc.
www.FormsWorkFlow.com
1
7.
___________________________________________________________
3
8.
___________________________________________________________
4
9.
___________________________________________________________
2
5
10. ___________________________________________________________
6
11. ___________________________________________________________
7
8
9
12. ___________________________________________________________
DATED this ____ day of ___________, 20_____.
10
11
Respectfully submitted,
12
By:
________________________
13
(signature)
14
________________________
(print name)
IN PROPER PERSON
15
16
17
18
19
20
21
22
23
24
25
26
27
28
Page 2 of 2
T:PACKETS\FORM – Certificate of Mailing.Testate.doc
American LegalNet, Inc.
www.FormsWorkFlow.com
