Form A-5 - Notice to consul general
SURROGATE'S COURT OF THE STATE OF NEW YORK
COUNTY OF ________
________X
ADMINISTRATION PROCEEDING
Estate of ________ NOTICE TO CONSUL
GENERAL
a/k/a
________ Deceased. File No. ________
________X
TO THE CONSUL GENERAL OF ________
AT THE CITY OF NEW YORK
PLEASE TAKE NOTICE that a petition (will be)(has been) presented to the Surrogate's Court County of ________, on ________, 19________, with respect to the Estate of the above-named decedent and it appears from the petition that:
a. the deceased was a subject of ________or
b. the following distributees are nonresidents of the United States:
Names Addresses Citizenship
____________ ____________ ____________
____________ ____________ ____________
____________ ____________ ____________
____________ ____________ ____________
______________
Attorney for Petitioner
______________
Address
________
______________
Telephone No.
STATE OF NEW YORK )
) ss.:
COUNTY OF ________ )
________ being duly sworn, says:
That he/she resides at ________, New York; that on the ________, 19________, he/she served a copy of the above NOTICE on the Consul General of ________ at ________, New York City, by mailing same to the office of the aforesaid Consul.
______________
Signature
Sworn to before me this
________ day of ________, 19________.
_________
Notary Public
Commission Expires: ________
(Affix Stamp or Seal)