Date filed: _____________________
PC-9.1 (11/02) Waiver or Advertising
Court use only
STATE OF RHODE ISLAND
PROBATE COURT OF THE
County of ___________________________________
Estate of ____________________________________
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Alias _______________________________________
Alias _______________________________________
No. ____________________
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Date
[ ] WAIVER (SECTION A)
or:
[ ] ADVERTISING (SECTION B)
(see page 2)
(check one)
SECTION A
The undersigned, all of full age and sound mind, waive notice of the pendency of the attached
______________________________________________ and assent to action thereon by the Court at
Type of Petition
any time. (If waived, all heirs sign here.)
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Subscribed and sworn to before me
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Sc.
Date: _________________________________________________________
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Notary public (please print name)
Notary public signature