Proof of notice as required under these Rules shall be substantially in the following form:
(Caption)
PROOF OF NOTICE
I, ______________, attorney for Petitioner in the above incapacity proceeding, certify that on ________________, 20__, I served notice of the hearing scheduled in the above captioned matter seeking an adjudication of incapacity by mailing a true and correct copy of the petition with order for hearing appended thereto by certified mail, return receipt requested, postage prepaid, to the following persons and/or institutions at the addresses indicated below:
Name | Address |
_________________________ | __________________________ |
_________________________ | __________________________ |
_________________________ | ___________________________ |
Attached to this Proof of Notice are return receipt cards evidencing said service of notice.
________________________________________
Attorney for Petitioner
Colu. Cnty. Pa. 14.2(f)