PR-1817, 10/10 Affidavit of Service (Probate) 247247865.11(2), 865.16(1)(c), 879.05 and 879.07, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF THE ESTATE OF Name Amended Affidavit of Service ( Probate ) Case No. I, [Name] of [City] , State of , being sworn, state that on [Date] , I provided copies of the following documents: Documents Provided the original of which is on file, OR a copy of which is attached (no original on file) to the following named persons at the mailing address as listed: See attached NAME MAILING ADDRESS TYPE OF SERVICE*** *** TYPE OF SERVICE: Refer to Wisconsin Statutes for proper manner of service. Type of Service: Personal Service Mail Certified mail return receipt requested State of County of Subscribed and sworn to before me on Notary Public/Court Official Name Printed or Typed My commission/term expires: Signature Print or Type Name Address Telephone Number Date Form completed by: (Name) Address Telephone Number Bar Number (If any) American LegalNet, Inc. www.FormsWorkFlow.com