In the Estate of , of the of in the died on or about …

1 Form (rule ) In the Supreme Court of newfoundland and Labrador General Division Notice of Application In the Estate of _____, of the _____ of _____ in the Province of _____, _____ (occupation), deceased, who died on or about the _____ day of _____, 20_____ FIVE DAYS after the date hereof, application will be made to one of the judges of the General Division of the Supreme Court of newfoundland and Labrador, for Letters of _____ to be granted to _____ Dated at _____, newfoundland and Labrador, this _____ day of _____, 20_____ Address for Service: _____ _____ Applicant or Solicitor for Applicant _____ _____ Telephone Note: This Notice of Application will lapse and be of no further force or effect 6 months from the date of its posting in the Registry of the Court unless within that time an application for letters of probate or administration, as the case may be, is filed with the Court, or unless, within that time, a Caveat opposing such application is filed with the Court.

2 I HEREBY CERTIFY that the above Notice of Application has been posted in the Registry of the Court from the date thereof to the present day, and that no caveat or other objection has been entered. The _____day of _____, 20_____ Registrar