Notice Of Petition SCPA 1753(2) {CSMD-3}

SURROGATE222S COURT OF THE STATE OF NEW YORKCOUNTY OF ---------------------------------------------------------------------------XIn the Matter of the Application of forAppointment/Confirmation as Standby Guardian ofNOTICE OF PETITION SCPA 2471753 (2)(USE ADAmerican LegalNet, Inc. www.FormsWorkFlow AFFIDAVIT OF MAILING NOTICE OF PETITIONSTATE OF NEW YORK)COUNTY OF ) ss.:, residing at being duly sworn, deposes and says that he/she is over the age of 18 years, that on the day of,, he/she mailed, by certified mail, a copy of the foregoing Notice of Petition containedin a securely closed, postpaid wrapper directed to each of the persons named in said notice at the places set opposite theirrespective names.(Signature)Sworn to before me this day of, (Print Name)Notary PublicCommission Expires:(Affix Notary Stamp or Seal)Attorney for Petitioner(s): Telephone Number: Address of Attorney: -2- American LegalNet, Inc. www.FormsWorkFlow.com