Form of proof; failure to file

1. Name, date of death and domicile. The name, date of death and last domicile of the decedent; 2. Name and address of representative. The name and address of each personal representative; 3. Value of estate. An estimate of the value of all the property of the estate; and 4. Fact proof not filed. The fact that the personal representative has not filed the proof required in section 4042 .