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Fill and Sign the Instructions for Completing Notice to Towns and Cities Form

Fill and Sign the Instructions for Completing Notice to Towns and Cities Form

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NHJB-2142-P (07/01/2011) Page 1 of 1 THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) Estate of NOTICE TO TOWNS AND CITI ES PURSUANT TO RSA 554:18-a Notice is hereby given that ownership of th e real estate specified below has been passed by inheritance or devise from the de ceased to the parties listed. 1. Deceased Name Date of Death Residence (city or town) 2. Location of Real Estate 3. Names and addresses of recipients NAME MAILING ADDRESS 4. The deed to this real estate is recorded in the County Registry of Deeds, Volume/Book , Page 5. I certify to the Probate Division that this notice was sent to the Assessor of the City of or Selectmen of the Town of as required by law. Date Fiduciary Signature Date Fiduciary Signature TO BE FILED WITH THE CITY ASSESSOR OR TOWN SELECTMEN AND THE PROBATE DIVISION PRIOR TO PRESENTING THE FINAL ACCOUNT.

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