Fee Statement And Proof Of Mailing (Regarding A Deceased Person) {PBIPF54f}

Person Filing: Address (if not protected): City, State, Zip Code: Telephone: Email Address: Lawyer's Bar Number: Licensed Fiduciary Number: ____________________________________ Representing Self, without a Lawyer or Attorney for Petitioner FOR CLERK'S USE ONLY OR Respondent SUPERIOR COURT OF ARIZONA MARICOPA COUNTY In the Matter of the: Case Number: PB A Deceased Person FEE STATEMENT AND PROOF OF MAILING INSTRUCTIONS: This document must be completed in all cases where fees are charged. All activities for which fees are charged must be specifically listed, such as telephone calls, meetings, staff meetings, conferences, document preparation, work in house or files, personal visits, trips, and so forth. STATEMENT OF FEES FOR SERVICES: The following is a statement of fees for services rendered from (date) to (date): DATE DESCRIPTION AND SERVICE PROVIDER TIME NUMBER OF HOURS BILLED: Total number of hours billed is © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED STA x$ Page 1 of 2 per hour = $ TOTAL CHARGE PBIPF54f 120209 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com Case No. PROOF OF MAILING: A copy of this management plan was mailed or delivered to the following persons: NAME ADDRESS Today's Date: Your Signature: © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED STA Page 2 of 2 PBIPF54f 120209 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com