Petition/Support Allowance PC-202 REV. 7/16 CONNECTICUT PROBATE COURTS RECORDED RECEIVED: Instructions: 1) The fiduciary, the spouse or dependent family member of a decedent may use this form to petition for support allowance for the spouse or family of the decedent during the settlement of the estate. 2) For more information, see C.G.S. section 45a-320. 3) Type or print the form in ink. District Number Fiduciary Probate Court Name Estate of ,deceased Petitioner (List name, address and telephone number and relationship to the deceased.) Name(s) and Address(es) of Other Persons to Whom Notice Should be Given: (Identify relationships.) THE PETITIONER REPRESENTS THAT: The spouse of the deceased is in need of a support allowance during the settlement of the estate in the amount of: ___________________ per month. ____________________ as a lump sum. _________________________________________________________________________ A family member who was a dependent of the deceased is in need of a support allowance during the settlement of the estate in the amount of: ___________________ per month. ____________________ as a lump sum. _______________________________________________________________________ Name and relationship of family member: ___________________________________________________ _____________________________________________________________________________________ Petition/ Support Allowance American LegalNet, Inc. www.FormsWorkFlow.com PC-202 Page 1 of 2 Petition/Support Allowance PC-202 REV. 7/16 CONNECTICUT PROBATE COURTS RECORDED THE PETITITIONER REQUESTS THAT: The Probate Court approve the support allowance as specified above. The representations made in this petition are made under the penalty of false statement. Signature of Petitioner Type or Print Name Date The executor(s)/administrator (s) of the estate has/have no objection to the petition for support allowance. Signature of Fiduciary Type or Print Name Date Signature of Fiduciary Type or Print Name Date Petition/ Support Allowance American LegalNet, Inc. www.FormsWorkFlow.com PC-202 Page 2 of 2