THE STATE OF NEW HAMPSHIRE
Court Name: Case Name: Case Number:
NOTICE TO TOWNS AND CITIES PURSUANT TO RSA 554:18-a
Notice is hereby given that ownership of the real estate specified below has been passed by inheritance or devise from the deceased to the parties listed. 1.
Deceased Name Date of Death
Residence (city or town) 2. 3. Location of Real Estate Names and addresses of recipients NAME MAILING ADDRESS
The deed to this real estate is recorded in the Registry of Deeds, Volume/Book , Page
I certify to the Probate Court that this notice was sent to the Assessor of the City of or Selectmen of the Town of
as required by law.
TO BE FILED WITH THE CITY ASSESSOR OR TOWN SELECTMEN AND THE PROBATE COURT PRIOR TO PRESENTING THE FINAL ACCOUNT.
NHJB-2142-P (10/01/2006) (formerly AOC 150-003) Page 1 of 1
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