Form AP-3 - Notice of ancillary probate
SURROGATE'S COURT OF THE STATE OF NEW YORK
COUNTY OF
________X
ANCILLARY PROBATE PROCEEDING, WILL OF NOTICE OF ANCILLARY PROBATE
a/k/a
a domiciliary of the State of File No. ________
Deceased.
________X
Notice is hereby given that:
1. An exemplified copy of the Will dated ____________(and Codicil dated ________)
of the above named decedent, domiciled at ____________
State of ________ has been offered for ancillary probate in the Surrogate's Court for the County of ________.
2. The name(s) of proponent(s) of said Will/Codicil is/are ____________
____________ whose
address(es) is/are ____________
____________
____________
3. The name and post office address of each and every domiciliary beneficiary of the above named decedent as set forth in Paragraph 6 of the petition is/are as follows:
NAME MAILING ADDRESS NATURE OF INTEREST
OR STATUS
(USE ADDITIONAL SHEETS IF NECESSARY)
Date ________
[Note: Complete Affidavit of Mailing. If serving infant 14 years of age or older, list and mail to infant as well as parent or guardian.]
Name of New York Attorney: ____________ Tel. No.: ________
Address of New York Attorney: ____________
AP-3 (12/97)
NAME MAILING ADDRESS NATURE OF INTEREST
OR STATUS
AFFIDAVIT OF MAILING NOTICE OF ANCILLARY PROBATE
STATE OF NEW YORK )
) ss.:
COUNTY OF )
________, residing at ____________
being duly sworn, says that he/she is over the age of 18 years, that on the ________ day of ________, he/she deposited in the post office or in a post office box regularly maintained by the government of the United States in the ________ of ________, State of New York, a copy of the foregoing Notice of Ancillary Probate contained in a securely closed postpaid wrapper directed to each of the persons named in said notice at the places set opposite their respective names.
________
Sworn to before me this ________ Signature day of ________, ________
________
Print Name
________
Notary Public
Commission Expires:
(Affix Notary Stamp or Seal)
Name of New York Attorney: ____________ Tel. No.: ________
Address of New York Attorney: ____________
AP-3 (12/97)