IN THE CHANCERY COURT FOR WILLIAMSON COUNTY, TENNESSEE ) ESTATE OF: ) NO. (Decedent) ) PETITION FOR ADMINISTRATION Comes now Petitioner, , and asks to be appointed Administrator of the above estate and for Letters of Administration to issue. Petitioner respectfully shows: 1. The Decedent departed this life on or about the day of , 20, in at the age of , whose residence at the time of death was . 2. The said deceased left surviving as heirs at law, the persons whose names and addresses appear below: NAME AGE RELATIONSHIP ADDRESS 3. The decedent died intestate, without a Will. 4. The estimated fair market value of this estate is $. 5. The decedent ( ) was ( ) was not enrolled in the TennCare program at the time of death. 6. The following information pertains to the Petitioner: American LegalNet, Inc. www.FormsWorkFlow.com Name: Age: Mailing Address: Relationship to Decedent: Felony or Misdemeanor Convictions: If yes, details of convictions(s) Sentenced to imprisonment in a penitentiary: If yes, details of sentence: Premises considered, your Petitioner prays: 1. That Petitioner be appointed Administrator. 2. That the Clerk and Master be directed to administer the oath and otherwise qualify the Administrator and issue Letters of Administration. 3. That Notice of Publication be given for creditors of said estate requiring them to file their claims within the time and in the manner required by T.C.A. 247 30-2-306. 4. That the Petitioner be granted any other general or specific relief to which the estate may be entitled. Signature/Petitioner Address STATE OF COUNTY OF Personally appeared before me the said , and after being duly sworn deposes and says that the facts averred in the above petition are true to the best of his/her knowledge, information, and belief, this day of , 20. NOTARY PUBLIC/CLERK & MASTER (My Commission expires: ) American LegalNet, Inc. www.FormsWorkFlow.com