SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION _________ ADM _________ _____________________________________________________________ Name of Decedent _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ Name and Address of Attorney Notice of Appointment, Notice to Creditors and Notice to Unknown Heirs _______________________________________________________________________, whose address(es) (is/are) _________________________________________________________________ (was/were) appointed Personal Representative(s) of the estate of _____________________________ __________________________________________ who died on _____________________________ (with/without) a Will. All unknown heirs and heirs whose whereabouts are unknown shall enter their appearance in this proceeding. Objections to such appointment (or to the probate of decedent's Will) shall be filed With the Register of Wills, D.C., 515 5th Street, N.W., 3rd Floor, Washington, D.C. 20001, on or before ____________________________. Claims against the decedent shall be presented to the undersigned with a copy to the Register of Wills or filed with the Register of Wills with a copy to the undersigned on or before __________________ or be forever barred. Persons believed to be heirs or legatees of the decedent who do not receive a copy of this notice by mail within 25 days of its publication shall so inform the Register of Wills including name, address, and relationship. Date of first publication: __________________________________ __________________________________ __________________________________ Name of newspaper and/or periodical: __________________________________ __________________________________ To be signed by Personal Representative(s) __________________________________ Telephone Number of Personal Representative(s) or Attorney TRUE TEST COPY __________________________________ Register of Wills 119B.10.v1 ­ February 2014 American LegalNet, Inc. www.FormsWorkFlow.com