251 2018 Nevada Supreme Court Page 1 of 3 226 Affidavit for Service by Publication (Guardianship) COURT CODE: Your Name: Address: City, State, Zip:Telephone:Email Address:Self-Represented DISTRICT COURT COUNTY, NEVADA In the Matter of the Guardianship of the: Person EstatePerson and Estate of: (name of person who needs a guardian) A Proposed Protected Person.CASE NO.: DEPT: DECLARATION TO WAIVE SERVICE OR ALTERNATIVELY, FOR SERVICE BY PUBLICATION (GUARDIANSHIP) I respectfully state the following: 1.I am the Petitioner in this case. A verified Petition was filed and a Citation directed to therelatives of the above-named proposed protected person.2.I have not been able to locate certain relatives who are entitled to notice. The relatives whocannot be located and to the best of my knowledge their last known addresses are: (list thenames of all the relatives you cannot find, their relationship to the person in need of aguardian, plus their last known addresses and the date they last lived there): Name Relationship Last Known Address City, State, Zip Code Date the person was last known to live at this address Date you mailed a copy of the Petition & Citation to this address Name Relationship Last Known Address City, State, Zip Code Date the person was last known to live at this address Date you mailed a copy of the Petition & Citation to this address American LegalNet, Inc. www.FormsWorkFlow.com 251 2018 Nevada Supreme Court Page 2 of 3 226 Affidavit for Service by Publication (Guardianship) Name Relationship Last Known Address City, State, Zip Code Date the person was last known to live at this address Date you mailed a copy of the Petition & Citation to this address Name Relationship Last Known Address City, State, Zip Code Date the person was last known to live at this address Date you mailed a copy of the Petition & Citation to this address Name Relationship Last Known Address City, State, Zip Code Date the person was last known to live at this address Date you mailed a copy of the Petition & Citation to this address Name Relationship Last Known Address City, State, Zip Code Date the person was last known to live at this address Date you mailed a copy of the Petition & Citation to this address (An Affidavit of Due Diligence detailing the attempts to locate each person must also be submitted for each person listed above). 3. The persons listed above are necessary parties to this action and are unable to be served by certified mail or personal service because their whereabouts are unknown. 4. If the whereabouts of any of the above-listed parties are discovered, I will properly notify them of the guardianship proceedings. 5. The addresses listed above are the last residence of the interested parties known to me. The interested parties no longer reside there, and I do not know where the interested parties reside or where the interested parties may be. 6. After due diligence, the interested parties cannot be found within the State of Nevada, or if they were last known to reside outside of the State of Nevada, I do not now know where they presently reside, where they may be found, and that I have no knowledge, have never been informed, and have no reason to believe that they currently reside in the State of Nevada. American LegalNet, Inc. www.FormsWorkFlow.com 251 2018 Nevada Supreme Court Page 3 of 3 226 Affidavit for Service by Publication (Guardianship) The Petition and Citation were served to: ( check all that apply) The proposed protected person by personal service; The care provider or guardian (if applicable) by certified mail, return receipt requested;tleast one relative by certified mail, return receipt requested (name of the relatives DID serve) Ifapplicable, Petitioner respectfully requests that service on the remainingindividuals entitled to notice be waived pursuant to NRS 159.0475(4) and 2017Nevada Laws Ch. 172 247 30(4) (A.B. 319). Alternately, Petitioner requests the Court to sign an Order directing that the persons namedabove beserved by publication.I declare under penalty of perjury under the law of the State of Nevada that the foregoing istrue andcorrect. DATED , 20. Submitted By: (your signature) (print your name) American LegalNet, Inc. www.FormsWorkFlow.com