Fillable Pb11fz Probate Information Form for Decedent’s Estate: PB11f

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Pb11fz Probate Information Form for Decedent’s Estate: PB11f

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The Pb11fz Probate Information Form for Decedent’s Estate: PB11f form is 2 pages long and contains:

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  • 33 other fields

Country of origin: US
File type: PDF

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© Superior Court of Arizona in Maricopa County PB11f -021320
ALL RIGHTS RESERVED Page 1 of 2
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
SUPERIOR COURT OF ARIZONA
MARICOPA COUNTY
In the Matter of:
Deceased.
Case Number:
PROBATE INFORMATION FORM FOR
DECEDENT’S ESTATE
Updated (Check this box if this is an
updated form.)
Instructions:
1. Complete this form to the best of your knowledge and ability and then file it with your application
or petition.
2. If you later learn of additional information that you omitted or if you later learn that any information
in this form is incorrect, you must file an updated probate information form.
3. For purposes of this form, “Financial Institution” means a national banking association, a holder
of a banking permit under Arizona law, a savings and loan association authorized to conduct trust
business in Arizona, a title insurance company qualified to do business in Arizona, or a trust
company holding a certificate to engage in trust business from the superintendent of financial
institutions.
4. Items designated with an asterisk (*) constitute “contact information” under Rule 13, Arizona Rules
of Probate Procedure. If contact information changes, you must file a notice of change of contact
information.
5. This form is filed as a confidential document, so it is not available to the general public. In addition,
you are not required to provide anyone with this form, other than the court.
FOR CLERK’S USE ONLY
Case No.
© Superior Court of Arizona in Maricopa County PB11f - 021320
ALL RIGHTS RESERVED Page 2 of 2
A. Information about the Nominated Personal Representative / Special Administrator:
Name:
Is this person or entity an Arizona Licensed Fiduciary? Yes No
If Yes, write that person or entity’s Licensed Fiduciary Number on the line below:
Mailing Address:*
Physical Address:*
Work Telephone Number:*
Email Address:*
If the nominated personal representative/special administrator is an Arizona Licensed Fiduciary or a
Financial Institution, proceed to section B below. Otherwise, complete the remainder of section A.
Home Telephone Number:*
Cellular Phone Number:*
Date of Birth:
Social Security Number:
Race:
Height:
Weight:
Eye Color:
Hair Color:
Sex:
B. Information about the Decedent:
Name:
Date of Birth:
Date of Death:
Social Security Number:
I, (your name), under the penalty of perjury, do hereby swear
that the foregoing information is true and correct to the best of my knowledge and belief.
Date Signature
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Pb11fz Probate Information Form for Decedents Estate: PB11f

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Completed 27 February 2020

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