In order to close an estate, whether by accounting or affidavit of completed administration, the fiduciary shall submit to the probate court an affidavit in substantially the following form: STATE OF RHODE ISLAND PROBATE COURT OF THE COUNTY __________ TOWN OF ________ ESTATE OF __________ NO. ________ FIDUCIARY’S AFFIDAVIT REGARDING NOTICE TO CREDITORS AND TO THE EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES The undersigned fiduciary of the above-captioned estate upon oath deposes and says that (a) notice of the commencement of the estate was mailed to all known or reasonably ascertainable creditors of the estate, as well as to the executive office of health and human services when the decedent was fifty-five (55) years or older, or that (b) no such notice was required to be mailed because the estate had no known or reasonably ascertainable creditors and the decedent was under the age of fifty-five (55). Name __________ Date_______ Subscribed and sworn before me this _____ day of ______ , 20____ . __________ Notary public
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