Georgia Year's Support Law 
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ACKNOWLEDGMENT OF SERVICE AND CONSENT TO

AWARD OF YEAR’S SUPPORT

            GEORGIA,                                                             COUNTY

IN RE: PETITION OF                                                                             FOR YEAR’S SUPPORT

            ESTATE OF                                                                                                   , DECEASED

We, the undersigned, being over 18 years of age, laboring under no legal disability and being interested persons with respect to the within matter, hereby acknowledge service of the petition for year’s support and notice, waive copies of same, waive all further service and notice, and hereby consent to the award of year’s support as proposed in the petition.

SIGNATURE(S) OF INTERESTED PARTIES

Sworn to and subscribed before

me this          day of                          , 20        .                        ______________________________________                                                                              

                                                                                    ______________________________________                                                                            

NOTARY/CLERK OF PROBATE COURT                  Printed Name

My Commission Expires ______________                                       

------------------------------------------------------------------------------------------------------------------------------

Sworn to and subscribed before

me this          day of                          , 20        .                        ______________________________________                                                                             

                                                                                    ______________________________________                                                                               

NOTARY/CLERK OF PROBATE COURT                  Printed Name

My Commission Expires________________                                         

------------------------------------------------------------------------------------------------------------------------------

Sworn to and subscribed before

me this          day of                          , 20        .                        ______________________________________                                                                               

                                                                                    ______________________________________                                                                              

NOTARY/CLERK OF PROBATE COURT                  Printed Name

My Commission Expires _______________                                         

------------------------------------------------------------------------------------------------------------------------------

Sworn to and subscribed before

me this          day of                          , 20        .                        ______________________________________                                                                             

                                                                                    ______________________________________                                                                             

NOTARY/CLERK OF PROBATE COURT                  Printed Name

My Commission Expires _______________                                        

------------------------------------------------------------------------------------------------------------------------------

Sworn to and subscribed before

me this          day of                          , 20        .                        ______________________________________                                                                             

                                                                                    ______________________________________                                                                               

NOTARY/CLERK OF PROBATE COURT                  Printed Name



8

My Commission Expires _______________                                      
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