STATE OF INDIANA COUNTY OF ALLEN SS IN THE ALLEN by Cannabisrapper

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									STATE OF INDIANA                  )                                       IN THE ALLEN SUPERIOR COURT
                                  ) SS:                                   PROBATE DIVISION
COUNTY OF ALLEN                   )                                       CAUSE NUMBER: 02D01 - ________ - E___ - ________


IN RE: THE ESTATE OF                  )
                                      )                                   AFFIDAVIT FOR NOTICE
                                      )
_____________________________________ )
                                                                          ON FINAL SETTLEMENT

The undersigned states that:

________________________________________________ is the duly appointed personal representative in the above case.


The following named persons are those who are known to be interested in the above case.

           NAME                                             ADDRESS       (STREET, CITY, STATE, AND ZIP CODE)

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________


I affirm under the penalties for perjury that the foregoing representations are true.


Date: ______________________________________                      ____________________________________________________
                                                                  Signature of Attorney or Personal Representative


                                                           CLERK’S CERTIFICATION
I hereby certify that I placed a Notice of Final Settlement in the U.S. mail to the persons named at the addresses listed above.


Date: ______________________________________                      ____________________________________________________
                                                                  Clerk, Allen Superior Court

07/2007 Affidavit for Notice on Final Settlement CLK 299          Please submit a pre-addressed envelope for each person listed above.

								
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