SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION _________ ADM _________ Estate of ________________________________ Deceased (Link to _________ WIL _________) Age _________ PETITION FOR PROBATE (For decedents dying on or after January 1, 1981 through June 30, 1995) Petition for Abbreviated Probate Appointment of Personal Representative(s) Appointment of Successor Personal Representative(s) Petition for Standard Probate Appointment of Co-Personal Representative(s) Appointment of Special Administrator(s) The Petition of: ____________________________________ Name Name Name Age Age Age ____________________________________ Address ____________________________________ ____________________________________ ____________________________________ Address ____________________________________ Address hereinafter "petitioner" being a citizen of the United States or a lawfully admitted permanent resident thereof, of legal age, and not otherwise excluded from acting as personal representative pursuant to D.C. Code, sec. 20-303(b), states the following: 1. ________________________________________________________, the decedent, a domiciliary of _______________________ residing at ____________________________________________ died at ________________________________________________________________________ on ________________________ (with) (without) a will. Petitioner is entitled to be appointed personal representative of the decedent's estate under D.C. Code, sec. 20-303 for the following reasons: __________________________________________ ______________________________________________________________________________ The court has jurisdiction in this matter because -- the decedent died domiciled in the District of Columbia other -- please state basis for jurisdiction __________________________________________ 4. 5. There are no other proceedings regarding the administration of the estate except _____________ ______________________________________________________________________________ The petitioner has made a diligent search for wills and codicils of the decedent, and, to the best knowledge of the petitioner, the will dated ______________________________ and codicil(s) dated _________________________________ accompanying this petition (is) (are) the decedent's last will, and petitioner knows of no later will or codicil, and said will and codicil(s), if any, came into petitioner's hands in the following manner: _______________________________ ______________________________________________________________________________ ______________________________________________________________________________ All information required pursuant to D.C. Code, sec. 20-304(a) has been furnished except ______ ______________________________________________________________________________ 2. 3. 6. September 2010 ­ 110B.10.v1 American LegalNet, Inc. www.FormsWorkFlow.com The decedent was survived by - (please check appropriate boxes) a. b. c. d. e. f. g. h. i. j. k. Spouse Children. Grandchildren. Brothers and/or Sisters. Nieces and/or Nephews. No spouse. Check appropriate box and go to b. Descendants of predeceased children. If so, stop here; if not, go to c. Descendants of predeceased grandchildren. If so, stop here; if not, go to d. Descendants of predeceased brothers and/or sisters. If so, stop here; if not, go to f. Descendants of predeceased nieces and/or nephews. If so, stop here; if not, go to g Parents. If so, stop here; if not go to e. Uncles and/or Aunts. If so, stop here; if not, go to h. First cousins. If so, stop here; if not, go to i. Grandparents. If so, stop here; if not, go to j. Other heirs. If none, go to k. Notify Office of the Attorney General, Chief of the Civil Enforcement Section, 441 4th Street, N.W., Washington, DC 20001. LIST OF INTERESTED PERSONS must include names of heirs if decedent died intestate; heirs and legatees, including trustees and all named Personal Representatives, if the decedent died testate. Refer to D.C. Code, sec. §19-301 through 312 and 20-101(d)(1). If under age of 18 or an adult who is legally disabled, also list as an interested person the judicially appointed guardian, conservator or committee for such person. If no judicially appointed representative exists then list the parent or custodian or an attorney-in-fact, if any, for such person (subject to the terms of the power of attorney) or any other person with legal authority to act for such disabled person. Note: If each trustee is also a petitioning party or acting personal representative, list all beneficiaries under trust. Refer to D.C. Code, sec. 20-101(g). Any creditor of the decedent, including those persons whose rights accrue at the time of death, who has timely presented a claim in excess of $500 that has not been barred or discharged is also an interested person. Petitioner(s) should update list of interested persons or creditors with claims in excess of $500 as they become known. Indicate, when applicable, grandchildren and nieces and nephews by family groups by showing the name of their deceased parent who was related to the decedent. Sample: Joe Petitioner 1234 Hexagon Street, N.W. Washington, D.C. 20000 Address Son/heir/legatee/petitioner Interested persons Relationship (Age, if under 18) (Use continuation sheet if necessary) WITNESSES TO WILLS/CODICILS (Names) September 2010 ­ 110B.10.v1 American LegalNet, Inc. www.FormsWorkFlow.com Character, Location and Estimated Value of Property Titled in Decedent's Name: A. Real Property located in the District of Columbia Estimated Value Total $ _____________________ B. Personal Property located in the District of Columbia and other jurisdictions B1. Value of household furniture, automobiles, furnishings, appliances and personal effects $ _______________ B2. Value of all other personal property $ _______________ Personal Property Total Total $ _____________________ C. (A+B) Total $ _____________________ D. Debts and Funeral Expenses Debts secured: Debts Unsecured: Funeral Expenses: Paid by __________________________ name Unpaid Inheritance taxes, if the decedent died prior to April 1, 1987. Only on personal property under control of personal representative. Total $ _____________________ Total $ _____________________ Amount paid $__________________ Total $__________________ September 2010 ­ 110B.10.v1 American LegalNet, Inc. www.FormsWorkFlow.com WHEREFORE, the petitioner prays that petitioner(s) be appointed personal representative(s) of the de