Form 12.

[Caption]

NOTICE OF APPOINTMENT AS [ADMINISTRATOR] [ADMINISTRATRIX]

Last known address: _______________

Date of Death: ______________, _____

The undersigned was appointed [administrator] [administratrix] of the estate of _______________, deceased, on [date].

All persons having claims against the estate must exhibit them, duly verified, to the undersigned within three (3) months from the date of the first publication of this notice, or they shall be forever barred and precluded from any benefit in the estate. However, claims for injury or death caused by the negligence of the decedent shall be filed within six (6) months from the date of the first publication of this notice, or they shall be forever barred and precluded from any benefit in the estate.

This notice first published on [date].

_______________________________

[Administrator] [Administratrix]

_______________________________

[Mailing Address]

Reporter's Notes to Form 12: See Ark. Code Ann. 28-40-111. This form shall used if no will was admitted to probate.