Petition For Order Declaring No Administration Necessary Page 7

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ACKNOWLEDGMENT OF SERVICE AND CONSENT
Each of the undersigned
heirs or creditors (including any security deed holder) hereby
acknowledges due and legal service of the foregoing Petition, waives copies of same and all further
service and notice in this matter, and consents to the following Final Order declaring that no
administration is necessary in the estate of ________________________________________, deceased.
SIGNATURE(S) OF HEIRS OR CREDITORS
(INCLUDING ANY SECURITY DEED
HOLDERS)
Sworn to and subscribed before
me this ____ day of
,20
.
______________________________________
_______________________________________
NOTARY/CLERK OF PROBATE COURT
Printed Name and Relationship to Estate
------------------------------------------------------------------------------------------------------------------------------
Sworn to and subscribed before
me this ____ day of
,20
.
_______________________________________
_______________________________________
NOTARY/CLERK OF PROBATE COURT
Printed Name and Relationship to Estate
-------------------------------------------------------------------------------------------------------------------------------
Sworn to and subscribed before
me this ____ day of
,20
.
_______________________________________
_______________________________________
NOTARY/CLERK OF PROBATE COURT
Printed Name and Relationship to Estate
-------------------------------------------------------------------------------------------------------------------------------
Sworn to and subscribed before
me this ____ day of
,20
.
______________________________________
_______________________________________
NOTARY/CLERK OF PROBATE COURT
Printed Name and Relationship to Estate
------------------------------------------------------------------------------------------------------------------------------
Sworn to and subscribed before
me this ____ day of
,20
.
______________________________________
_______________________________________
NOTARY/CLERK OF PROBATE COURT
Printed Name and Relationship to Estate
-------------------------------------------------------------------------------------------------------------------------------
Sworn to and subscribed before
me this ____ day of
,20
.
______________________________________
_______________________________________
NOTARY/CLERK OF PROBATE COURT
Printed Name and Relationship to Estate
Effective 8/10
GPCSF 9

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