CONNECTICUT PROBATE COURTS Petition/Access to Safe Deposit Box to Obtain Will/Cemetery Deed PC - 203 Rev. 4/19 Petition/Access to Safe Deposit Box to Obtain Will/Cemetery Deed PC - 203 RECEIVED: Instructions: 1) The decedent222s spouse, next of kin or other person having sufficient interest may use this form to petition the Probate Court for access to a safe deposit box to obtain an original will or cemetery deed. 2)This form can be used only if the decedent was the sole owner of the safe deposit box.3)For more information, see C.G.S. section 45a-284.4)Type or print the form in ink. Use an additional sheet, or PC-180, if more space is needed. Probate Court Name District Number Estate of Hereinafter referred to as the decedent Date of Death Decedent222s Residence at Time of Death (Include full address.) Petitioner (Name, address and telephone number) Relationship to Decedent Bank or financial institution holding safe deposit box (Name and/or branch and address) The etitioner represents that: I am the spouse or next of kin of the decedent . I am a person not related to the decedent but having an interest in the presence of a will or cemetery deed . (Explain the basis for the interest.) I have reason to believe the decedent was the sole owner of a safe deposit box held by the bank or financial institution listed above, which may contain the decedent222s will and/or cemetery deed. WHEREFORE the petitioner requests that the court issue an order to open the decedent's safe deposit box in the presence of an officer of the bank for the purpose of removing the will and/ or cemetery deed from the box. The representations made in this petition are made under penalty of false statement. Signature of Petitioner Type or Print Name Date American LegalNet, Inc. www.FormsWorkFlow.com