SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION Estate of ________________________________ Deceased ASSIGNMENT OF INTEREST I, ___________________________________________________________________ (Insert name) of _________________________________________________________________________ (Insert address) do hereby assign to ___________________________________________________________ (Insert name) of _________________________________________________________________________ (Insert address) all and any right, title and interest in and of the Estate of _____________________________ who died on, __________________________________, to which I may be entitled. Executed on this _______ day of ________________ 20____. _________ SEB _________ ___________________________________ Signature ___________________________________ Typed Name ___________________________________ Address (actual address/not Post Office Box) ___________________________________ ___________________________________ ___________________________________ Telephone number ___________________________________ E-mail Address ___________________________________ Bar Number (if filer is an attorney) American LegalNet, Inc. www.FormsWorkFlow.com I do solemnly declare and affirm under penalty of law that the contents of the foregoing document are true and correct to the best of my knowledge, information, and belief. ___________________________ Signature December 2010 - 200.10.v1 American LegalNet, Inc. www.FormsWorkFlow.com