DATE FILEDFOR

COURT USE ONLY

Name of Attorney

BarNumber

Law Firm

Street Address

City/Town State ZipCode

E-mail PhoneNumber

Signature of Attorney

Date

Name of Attorney

BarNumber

Law Firm

Street Address

City/Town State ZipCode

E-mail PhoneNumber

Signature of Attorney

Date

Name of Attorney

BarNumber

Law Firm

Street Address

City/Town State ZipCode

E-mail PhoneNumber

Signature of Attorney

Date

ATTORNEY OF RECORD

PC-9.2 (Rev. 07/17)

State of Rhode Island and Providence PlantationsProbate Court

Page 1 of 1

STATE OF RHODE ISLANDCounty of

Estate of

Alias

PROBATE COURT OF THECity or Town of

No.

ATTORNEY SIGN HERE

ATTORNEY SIGN HERE

ATTORNEY SIGN HERE