4B-202

STATE OF NEW MEXICO

IN THE PROBATE COURT

_______________ COUNTY

                                                                                                            No. ________

IN THE MATTER OF THE ESTATE OF

______________________, DECEASED.

PROOF OF NOTICE¹

I, __________________, am the personal representative of the estate of ________________________. I have mailed a copy of the Notice of Informal Appointment of Personal Representative to the following people at the addresses listed below (list all persons named in the will, if there is a will, and all heirs, even if not named in a will):

Heirs and devisees

Name                                                                          Address

_________________________                                  _____________________________

_________________________                                  _____________________________

_________________________                                  _____________________________

_________________________                                  _____________________________

People who have demanded notice

Name: ________________________________

Address: _____________________________

Name: ________________________________

Address: _____________________________

Dated: _____________, ______

_____________________________________

Signature of personal representative

_____________________________________

Printed name

_____________________________________

Street address

________________________________

City, state and zip code

_____________________________________

Telephone number

USE NOTE

1.         See Section 45-3-705 NMSA 1978 for proof of notice of appointment.