SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION In Re: Estate of __________________________ No. PETITION FOR COMPENSATION OF VISITOR OR EXAMINER I, was appointed (Visitor / Examiner) in the captioned proceeding on _______________________. I request compensation in the total amount of , and as the basis therefore, state that I expended hours at an hourly rate of $ . The time was expended as follows: STATEMENT OF SERVICES RENDERED DATE ACTIVITY TIME EXPENDED (use additional pages if necessary) VERIFICATION I, , being first duly sworn on oath (OR: I , affirm), depose and say that I have read the foregoing pleadings by me subscribed and that the facts therein stated are true to the best of my knowledge, information and belief. Signature of Petitioner Subscribed and sworn to before me this day of _______, 2001 Clerk or Notary Public American LegalNet, Inc. www.USCourtForms.com CERTIFICATE OF SERVICE I certify that a copy of this Petition for Compensation, together with the attached Notice of Petition for Compensation, was served by first class mail, postage prepaid, on the following, on . The subject/adult ward/protected individual: (name and address) AND The parties to the proceeding: (any guardian, conservator, the person who filed the petition to initiate the intervention proceeding, and any creditor filing a petition to determine a claim) Name and addresses: Guardian: Conservator: Person(s) who filed petition: Creditor: Date Signature American LegalNet, Inc. www.USCourtForms.com In Re: INTVP. No. ______ NOTICE OF PETITION FOR COMPENSATION You are hereby notified that you may file written exceptions or objections to the petition for compensation with the Register of Wills and serve a copy thereof on the petitioner, all parties, and on anyone who has filed an effective request for notice within 20 calendar days of the mailing to you of this Notice of Petition for Compensation. Reasons for your exceptions or objections should be stated. Consents: Persons required to be served notice of a petition may file consents to the petition for compensation. If all persons required to be served with notice file consents, the notice and the 20 day period referred to in the notice required above shall be waived and the petition for compensation shall be immediately reviewed for approval. Consents to the petition shall be in the following form and, once filed, constitute a waiver of the right to object thereto: American LegalNet, Inc. www.USCourtForms.com In Re: INTVP.No. CONSENT TO COMPENSATION AND FOR FEES I, , have receive a copy of the Petition for Compensation in the amount of $__ for and $_ for _______________________ . I waive the right to file objections to the above stated amounts and I consent to the approval by the Court of payment of such amounts. Date: Signature American LegalNet, Inc. www.USCourtForms.com