IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON IN AND FOR THE COUNTY OF KING IN RE THE DEPOSITED WILL OF: NO. ___________________ MOTION/DECLARATION TO WITHDRAW WILL FROM REPOSITORY (MTAF) _____________________________________ TESTATOR(s) Date of Birth: I. MOTION 1.1 Based on the declaration below, the undersigned moves the court for order granting withdrawal of will or the testator(s) for will and codicil(s) of _________________________________________. filing in King County as a “will only” / “estate” action or for delivery to _______________________________________. 1.2 The clerk cannot verify the identity of the testator from the Will Repository Cover Sheet submitted at time of original filing because it does not contain the required minimum of three identifiers. 1.3 Other: Dated: Signature of Lawyer or Moving Party WSBA# Print or Type Name MT/DECL. TO WITHDRAW WILL FROM REPOSITORY- rev 8/06 L:forms/cashier (____) - Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com II. DECLARATION 2.1 The following facts show that there is good cause to grant the above named lawyer or moving party with authorization to withdraw the above named testator’s will from the will repository maintained by the clerk of the court: 2.2. The above named lawyer or moving party understands that the withdrawn will may not be returned to the clerk of the court except by initiating a new action depositing the will in the will repository or by initiating a court filing pursuant to the laws of the state of Washington. 2.3 Other: I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Signed on __________________________ at _____________________________________________. [Date] [City and State] Print Name Street Address (WSBA #) Signature Telephone City, State, Zip code MT/DECL. TO WITHDRAW WILL FROM REPOSITORY- rev 8/06 L:forms/cashier (____) - Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com