IN THE CHANCERY COURT OF HAMILTON COUNTY, TENNESSEE AFFIDAVIT OF NOTICE TO HEIRS T.C.A. § 30-2-301(b)(1)(B). PART 2 PROBATE DIVISION FILE N0. IN THE MATTER OF THE ESTATE OF DECEASED STATE OF TENNESSEE} COUNTY OF HAMILTON} The undersigned, being duly sworn, depose(s) and say(s): 1. The undersigned is/are the duly appointed and serving personal representative(s) of this intestate estate. 2. The undersigned has/have personal knowledge of the matters herein stated. 3. Pursuant to T.C.A. § 30-2-301(b)(1)(B), the undersigned has/have sent, by first class mail or personal delivery, a copy of the Letters of Administration to each heir. 4. The name(s) and address(es) of each heir are [attach additional pages as necessary]: 5. Further Affiant saith not. ________________________________ _________________________________ Personal Representative Personal Representative ________________________________ _________________________________ Personal Representative Personal Representative Sworn to and subscribed before me this ____ day of ____________, 20___. _________________________________ NOTARY PUBLIC My Commission expires: _____________ AFFIDAVIT OF NOTICE TO HEIRS FORM 116P, REV. 2007.08.02 American LegalNet, Inc. www.FormsWorkflow.com