§ Form 9 Statement Noting a Party's Death

Form 9. Statement Noting a Party's Death

(Caption--See Form 1.)

In accordance with Rule 25(a) name the person, who is [a party to this action] [a representative of or successor to the deceased party] notes the death during the pendency of this action of name, [describe as party in this action].

(Date and sign--See Form 2.)