PROBATE COURT OF MONTGOMERY COUNTY, OHIO ALICE O. McCOLLUM, JUDGE ESTATE OF ___________________________________________________, DECEASED CASE NO.______________________________ VERIFICATION OF SERVICE NOTICE OF HEARING ON REPRESENTATION OF INSOLVENCY AND SCHEDULE OF CLAIMS [R.C. 2117.17] The undersigned does hereby verify that, unless waived, written notice was given, no less than 10 days prior to the hearing, by personal service or certified mail to all creditors, claimants, to the surviving spouse, to the custodians of minor children who are not the children of the surviving spouse, and other persons having an interest in the estate as devisees, legatees, heirs and distributees. Attached hereto are the proofs of service and/or waivers of notice. ______________________________________________________ Fiduciary/Attorney for Fiduciary ______________________________________________________ Typed or Printed Name ______________________________________________________ Address ______________________________________________________ ______________________________________________________ Phone Number (include area code) Attorney Registration No. _________________________________ FORM 24.3 – VERIFICATION OF SERVICE NOTICE OF HEARING ON REPRESENTATION OF INSOLVENCY AND SCHEDULE OF CLAIMS Effective Date: January 1, 2012 American LegalNet, Inc. www.FormsWorkFlow.com