This form contains 67 fields organized into 15 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Attorney or Party Information
State Bar Number Text
Enter the attorney's State Bar number as issued by the state bar association.
Name Text
Enter the full name of the attorney or party filing this form.
Firm Name Text
Enter the law firm or business name associated with the attorney or party, if applicable.
Street Address Text
Enter the street mailing address for the attorney or party, including suite or unit number if applicable.
City Text
Enter the city for the street or mailing address.
State Text
Enter the state for the address (use the two-letter abbreviation or full state name).
Max length: 2 characters
ZIP Code Text
Enter the postal ZIP code for the address.
Telephone Number Text
Enter the primary telephone number for the attorney or party, including area code.
Fax Number Text
Enter the fax number for the attorney or party, including area code, if available.
Email Address Text
Enter the email address to be used for service and correspondence.
Attorney For (Name) Text
Enter the name of the person or entity that the attorney represents in this matter.
Case Information
Estate or Matter Name Text
Enter the full name of the estate or the name of the matter (the person or entity the case concerns) exactly as it should appear on court records.
IN THE MATTER OF (name) Checkbox
Check this box when the case caption should read 'In the Matter of (name)' (use when the filing concerns a named matter rather than an estate).
ESTATE OF (name) Checkbox
Check this box when the case caption should read 'Estate of (name)' (use for proceedings concerning a decedent's estate).
DECEDENT Checkbox
Check this box when the proceeding concerns a decedent (a deceased person's estate or related matters).
TRUST Checkbox
Check this box when the matter involves a trust.
OTHER Checkbox
Check this box when the case type is not 'Decedent' or 'Trust' (and provide the specific type elsewhere on the form).
Case Number Text
Enter the court-assigned case number for this matter as it appears on official court documents.
Clerk's Certificate of Posting
Posting address Text
Enter the full address where the Notice of Hearing—Decedent's Estate or Trust was posted (street address, city, state, and ZIP).
Posting date Date
Enter the date the notice was posted.
Clerk or deputy name Text
Enter the name of the clerk or deputy who posted the notice or signed on behalf of the clerk.
Certificate date Date
Enter the date the clerk completed or signed this Certificate of Posting.
Continued on Attachment Checkbox
Continued on an attachment Checkbox
Check this box when the list of names and addresses to whom notice was mailed does not fit on the form and you are continuing that list on a separate attachment.
Estate/Matter and Type Selection
Estate or Matter Name Text
Enter the full name of the decedent's estate or the name of the matter to be used on the notice (the party or estate name as it should appear on the form). Fill only if 'TRUST', 'OTHER' is 'Yes' (any 23 or 24).
Depends on: TRUST, OTHER
IN THE MATTER OF (name) Checkbox
Check this box when the filing is titled 'In the Matter Of' and you will enter the relevant name in the adjacent field. Fill only if 'DECEDENT' is 'Yes'.
Depends on: DECEDENT
ESTATE OF (name) Checkbox
Check this box when the case is for a decedent's estate and you will enter the decedent's name in the adjacent field.
DECEDENT Checkbox
Check this box when the type of proceeding is for a decedent's estate (probate for a deceased person).
TRUST Checkbox
Check this box when the proceeding concerns a trust rather than a decedent's estate.
OTHER Checkbox
Check this box when the matter type is not 'Decedent' or 'Trust' and specify the actual type in the provided space.
General
form MC-410 Button
Print this form Button
Save this form Button
Clear this form Button
For your protection and privacy, please press the Clear This Form button after you have printed the form Button
Hearing Date, Time, and Location
Hearing Date Date
Enter the scheduled date of the hearing.
Hearing Time Time
Enter the scheduled start time of the hearing.
Hearing Room Text
Enter the courtroom or room identifier where the hearing will be held (for example, room number or name).
Department/Dept. Text
Enter the court department or division identifier assigned to this hearing.
Court Name and Address (if different) Text
Provide the full name and mailing address of the court handling the hearing if it differs from the court information shown elsewhere on the form.
Notice / Petition Details
Name of person giving notice Text
Enter the full name of the person or entity for whom the notice is given.
Fiduciary or representative capacity Text
Enter the fiduciary or representative role (for example, executor, administrator, trustee) of the person named, if any.
Title and brief description of petition/application Text
Provide the complete title and a short description of the petition, application, report, or account that has been filed.
The filing is a report of the status of a decedent's estate administration Checkbox
Check this box when the document you are filing is a report of the status of a decedent's estate administration made under Probate Code section 12200.
Proof of Service By Mail
Residence or Business Address Text
Enter the full residence or business address (street address, city, state, and ZIP) where you lived or worked at the time the mailing occurred.
depositing the sealed envelope Checkbox
Check this box if you deposited the sealed envelope with the U.S. Postal Service on the date and at the place shown in item 4 with postage fully prepaid.
placing the envelope for collection and mailing Checkbox
Check this box if you placed the envelope for collection and mailing following your ordinary business practices and it was deposited in the ordinary course of business with the U.S. Postal Service on the same day.
Date Mailed Date
Enter the date the notice was mailed. Fill only if 'depositing the sealed envelope', 'placing the envelope for collection and mailing' is 'Yes' (any).
Depends on: depositing the sealed envelope, placing the envelope for collection and mailing
Place Mailed (city, state) Text
Enter the city and state from which the notice was mailed. Fill only if 'depositing the sealed envelope', 'placing the envelope for collection and mailing' is 'Yes' (any).
Depends on: depositing the sealed envelope, placing the envelope for collection and mailing
I served with the Notice a copy of the petition or other document Checkbox
Check this box if, along with the Notice of Hearing—Decedent's Estate or Trust, you also served a copy of the petition or other document referred to in item 1 of the Notice.
Declaration Date Date
Enter the date you signed the declaration under penalty of perjury. Fill only if 'I served with the Notice a copy of the petition or other document' is 'Yes'.
Depends on: I served with the Notice a copy of the petition or other document
Type or Print Name Text
Type or print your full name as the person who completed and is signing this Proof of Service by Mail. Fill only if 'I served with the Notice a copy of the petition or other document' is 'Yes'.
Depends on: I served with the Notice a copy of the petition or other document
Recipient 1 Name and Address
Recipient 1 Name Text
Enter the full name of the first recipient to whom the notice was mailed.
Recipient 1 Address Text
Enter the first recipient's complete mailing address including street and number, city, state, and ZIP code.
Recipient 2 Name and Address
Recipient 2 Name Text
Enter the full name of the second recipient to whom the notice was mailed (first and last name, and any title or company name if applicable).
Recipient 2 Address Text
Enter the complete mailing address of the second recipient, including street address, city, state, and ZIP code.
Recipient 3 Name and Address
Recipient 3 Name Text
Enter the full name of the third person or entity who was mailed the notice (person or business name as it should appear on the record).
Recipient 3 Address Text
Enter the complete mailing address for the third recipient, including street number and name, city, state, and ZIP code.
Recipient 4 Name and Address
Recipient 4 Name Text
Enter the full name of the fourth person or entity who was mailed the notice.
Recipient 4 Address Text
Enter the complete mailing address (street & number, city, state, zip code) for the fourth recipient.
Recipient 5 Name and Address
Recipient 5 Name Text
Enter the full name of the fifth person who was mailed the notice (person or entity).
Recipient 5 Address Text
Enter the full mailing address for the fifth recipient, including street address, city, state, and ZIP code.
Superior Court Information and Case Number
Superior Court County Text
Enter the name of the county where the Superior Court is located (the county handling this case).
Court Street Address Text
Enter the full street address of the superior court branch handling this case, including building number and street (and suite number if applicable).
Court Mailing Address Text
Enter the mailing address for the court (P.O. Box or street address) where correspondence about this case should be sent.
City and ZIP Code Text
Enter the city and ZIP code for the court's location (for example: 'CityName, ZIPCODE').
Court Branch Name Text
Enter the name of the specific court branch or division (for example, the hall, branch or division name) that is hearing the case.
Case Number Text
Enter the official court case number assigned to this matter exactly as it appears on court documents.