FORM PB-404 Receipt (& Release) (& Waiver of Notice)

• Legal Form Number: FORM PB 404
• Date: 01 January 2014
• Section: Az Probate Forms Annotated

FORM PB 404

[Attorney’s Name, State Bar No.]

[Attorney’s Law Firm Name]

[Law Firm Bar Number]

[Address]

[Phone Number]

[Attorney or Firm’s E-mail Address]

Attorney for: __________

SUPERIOR COURT OF ARIZONA, __________ COUNTY

In the Matter of the Estate of Deceased. NO. __________ RECEIPT [AND RELEASE] [AND WAIVER OF NOTICE]

__________, a distributee of the estate, states:

1. I acknowledge receipt of the following asset[s]:

________________________________________________________________________

________________________________________________________________________

[2. I acknowledge receipt from the personal...