THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) Estate of NOTICE TO SURVIVING SPOUSE, LEGATEES, HEIRS AT LAW AND RETURN OF NOTICE YOU ARE HEREBY NOTIFIED that the will of the deceased was proved and allowed by the court on , and the executor/administrator(s) listed below has/have been appointed. You have received this notice because you appear to have an interest in this matter as either: the surviving spouse of the deceased, a legatee specifically named in the will, or an heir at law of the deceased. Executor/Administrator Name Mailing Address Executor/Administrator Name Mailing Address Attorney for Executor/Administrator Mailing Address Telephone Bar ID# Telephone Telephone I/We certify that a copy of this notice was given to the persons or entities named below within 60 days of appointment, as required by RSA 552:15. If notice is given to a trust, the copy should go to the trustees. I certify that on this date I provided this document(s) to the parties who have filed an appearance for this case or who are otherwise interested parties by: Hand-delivery OR US Mail OR Email (E-mail only by prior agreement of the parties based on Circuit Court Administrative Order). Date Executor/Administrator or Attorney Signature Date Executor/Administrator or Attorney Signature THE ORIGINAL FORM MUST BE FILED IN THE PROBATE DIVISION WITHIN 90 DAYS OF APPOINTMENT. NHJB-2127-P (03/25/2013) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com