In the matter of the Estate of <Decedent Full Name>, late of <Full Address>, Deceased.
All claims against the above estate, supported by Statutory Declaration must be sent to the attention of:
<PERSONAL REPRESENTATIVE>, <PERSONAL REPRESENTATIVE ADDRESS>, on or before <DATE OF PUBLICATION>.
Dated at <Full Address Of Publication>, this <DATE OF PUBLICATION>.
<PERSONAL REPRESENTATIVE>
<PERSONAL REPRESENTATIVE ADDRESS>