December 2010 226 111.10.v1 SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION Estate of Deceased CONSENT TO ACCOUNT IN UNSUPERVISED ADMINISTRATION (For estates of decedents dying on or after July 1, 1995) I, , am entitled to receive a share of the above estate. I have received a copy of the account of the estate. (first, second and final, etc.) I am aware that I have the right to object to the account within sixty days after the date on which the account was sent to me. I am also aware that if I do not make such an objection within the sixty day period, all claims (other than fraud) which I may have against the personal representative(s) or any distributee shall be barred. I hereby waive my right to file objections to the account, and do consent to the account as stated. Witness: (one required) Address Signature Dated: ADM American LegalNet, Inc. www.FormsWorkFlow.com