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Respectfully represents: Name of the Deceased Personal Estate Estimated at $ Resided in City/Town Date of Death (Died Testate) Petitioner: Name Relationship to Deceased Street Address City/Town State Zip Code Email Phone Number Respectfully requests: The accompanying instrument dated (date the Will and/or Codicil was signed) may be admitted to Probate as the last will and testament of the deceased and that: letters testamentary OR letters of administration c.t.a may be issued to: Name of Nominee Relationship to Deceased Street Address City/Town State Zip Code Email Phone Number Name of Co- Nominee (if any) Relationship to Deceased Street Address City/Town State Zip Code Email Phone Number Deceased left the following surviving spouse and heirs at law who would inherit had Deceased died intestate and beneficiaries under the will: NAME RELATIONSHIP ADDRESS Spouse Form PC-9.1, Waiver, if applicable. Additional heirs at law and beneficiaries must be listed on page 1A. Petitioner: Signature of Petitioner Date Notary: Name of Notary State County On day of , 20 the petitioner, known to me or proved through satisfactory evidence, signed the document in my presence and swore or affirmed the statement(s) in the documents is/are truthful and accurate. Signature of Notary Public Date Commission ID# Commission Expiration Date Notary Seal (Indicate any minors or incompetents.) STATE OF RHODE ISLAND County of Estate of Alias DATE FILED FOR COURT USE ONLY PROBATE COURT OF THE City or Town of No. PETITION FOR PROBATE OF WILL RIGL 33-22-2 (or any other suitable person be appointed to administer.) PC-1.5 (Rev. 07/17) State of Rhode Island and Providence Plantations Probate Court Page 1 of 2 PETITIONER SIGN HERE NOTARY SIGN HERE

State of Rhode Island and Providence Plantations Probate ......PROBATE COURT OF THE City or Town of No. PETITION FOR PROBATE OF WILL RIGL 33-22-2 (or any other suitable person be appointed

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  • Respectfully represents:Name of the Deceased

    Personal Estate Estimated at $

    Resided in City/Town

    Date of Death (Died Testate)

    Petitioner:Name Relationship to

    Deceased

    Street Address

    City/Town State Zip Code

    Email Phone Number

    Respectfully requests:The accompanying instrument dated (date the Will and/or Codicil was signed) may be admitted to Probate as the last will and testament of the deceased and that: letters testamentary OR letters of administration c.t.a may be issued to:Name of Nominee

    Relationship to Deceased

    Street Address

    City/Town State Zip Code

    Email Phone Number

    Name of Co-Nominee (if any)

    Relationship to Deceased

    Street Address

    City/Town State Zip Code

    Email Phone Number

    Deceased left the following surviving spouse and heirs at law who would inherit had Deceased died intestate and beneficiaries under the will:

    NAME RELATIONSHIP ADDRESSSpouse

    Form PC-9.1, Waiver, if applicable. Additional heirs at law and beneficiaries must be listed on page 1A.

    Petitioner:Signature of Petitioner Date

    Notary:Name of Notary State County

    On day of , 20 the petitioner, known to me or proved through satisfactory evidence, signed the document in my presence and swore or affirmed the statement(s) in the documents is/are truthful and accurate.

    Signature of Notary Public

    Date

    Commission ID# Commission Expiration Date Notary Seal

    (Indicate any minors or incompetents.)

    STATE OF RHODE ISLANDCounty of

    Estate of

    Alias

    DATE FILEDFOR

    COURT USE ONLY

    PROBATE COURT OF THECity or Town of

    No.

    PETITION FOR PROBATE OF WILLRIGL 33-22-2

    (or any other suitable person be appointed to administer.)

    PC-1.5 (Rev. 07/17)

    State of Rhode Island and Providence PlantationsProbate Court

    Page 1 of 2

    PETITIONER SIGN HERE

    NOTARY SIGN HERE

    http://webserver.rilin.state.ri.us/Statutes/TITLE33/33-22/33-22-2.HTM

  • Deceased left the following surviving spouse and heirs at law:NAME RELATIONSHIP ADDRESS

    You may provide additional attachments, if necessary.

    (Indicate any minors or incompetents.)

    PC-1.5 (Rev. 07/17) Page 1A of 2

  • DECREEUpon hearing, it is hereby ordered and decreed:The instrument herewith presented may be admitted to probate as the last Will and testament of:Name of DeceasedFiduciary NameStreet AddressCity/Town State Zip Code

    Email Phone Number

    Co-Fiduciary NameStreet AddressCity/Town State Zip Code

    Email Phone Number

    is/are hereby appointed to administer the estate of deceased upon filing bond.Bond Fixed at: $ With Surety

    Without Surety letters testamentary letters of administration c.t.a.

    Appointed APPRAISER(S): Check box if Appraiser(s) is/are the same as above OR Complete Appraiser(s) information below.Appraiser NameStreet AddressCity/Town State Zip Code

    Email Phone Number

    Co-Appraiser NameStreet AddressCity/Town State Zip Code

    Email Phone Number

    Appointed RESIDENT AGENT:ResidentAgent NameStreet AddressCity/Town State Zip Code

    Email Phone Number

    Form PC-3.5, Appointment of Resident Agent, if required.Entered as an order and decree of the court on:Probate Judge Date

    Signature of Probate Judge

    PC-1.5 (Rev. 07/17) Page 2 of 2

    PROBATE JUDGE SIGN HERE

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