DATE FILEDFORCOURT USE ONLY AFFIDAVIT OF NOTICE TO CREDITORSRIGL 33-11-5.1PC-10.14 (Rev. 07/17) State of Rhode Island and Providence PlantationsProbate CourtPage 1 of 1 STATE OF RHODE ISLANDCounty ofEstate ofAlias PROBATE COURT OF THECity or Town ofNo. The undersigned, upon oath, pursuant to RIGL 33-11-5.1Notice has been given to all known or easily ascertainable creditors.Name of FiduciarySignature ofFiduciaryDateNotary:Name of NotaryStateCountyOn day of , 20the petitioner, known to me or proved through satisfactory evidence, Signature ofNotary PublicDateCommission ID#Commission Expirate DateNotary Seal ARY SIGN HERE American LegalNet, Inc. www.FormsWorkFlow.com