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NC1 COURT FILE NUMBER COURT JUDICIAL DISTRICT ESTATE NAME PROCEDURE BOND NOTICES REQUIRED Application by the

personal representative(s) for a grant of probate Not required Request to dispense NC19 Notice to beneficiary (residuary) NC20 Notice to beneficiary (non-residuary) NC22 Notice to spouse Matrimonial Property Act NC23 Notice to spouse Dependents Relief Act NC24.1 Notice to Public Trustee Court of Queens Bench of Alberta (Surrogate Matter)

COPY OF THE APPLICATION FILED WITH THE PUBLIC TRUSTEES OFFICE


(Yes/No)

PERSONAL REPRESENTATIVE(S) NAME(S) COMPLETE ADDRESS FOR SERVICE ON THE PERSONAL REPRESENTATIVE(S)

Personal Representative Name Complete address:

Date

ORDER: ISSUE THE GRANT AS APPLIED FOR

Justice of the Court of Queens Bench of Alberta

Date

SELF-COUNSEL PRESS/ABPROBATE/NC1 PROBATE/(5-1) 11

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