SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION _________ ADM _________ Estate of ________________________________ Deceased PETITION FOR TERMINATION OF APPOINTMENT OF PERSONAL REPRESENTATIVE (For estates of decedents dying on or after January 1, 1981 through June 30, 1995) Pursuant to D.C. Code �20-1301 _______________________________________________, the personal representative(s) of the above estate, request(s) termination of appointment as personal representative(s) and, in support thereof, represent(s) to the Court as follows: 1. _____________________________________________ (was) (were) appointed personal representative(s) of the above estate by order of this Court entered ______________________. 2. A request for termination of this appointment (has) (has not) previously been made on the final account approved by this Court (with) (without) formal audit. 3. All creditors' claims have been resolved in accordance with applicable law. 4. The Court has approved the final account of the personal representative(s), and all estate assets have been distributed as stated in that account. 5. The Court has approved payment of all compensation of the personal representative and the attorney for the estate where required under Superior Court, Probate Division Rule 124. 6. Unless previously filed, there are attached to this petition, receipts signed by all of the (heirs) (legatees) of this estate, who are listed below, which receipts reflect all distributions reported in accounts previously approved by this Court: (List names of heirs/legatees. Attach additional sheet if necessary.) Wherefore, the personal representative(s) prays for termination of appointment in this estate. ____________________ Date _________________________________ ________________________________ Signature of personal representative(s) September 2010 � 111B.10.v1 American LegalNet, Inc. www.FormsWorkFlow.com Pursuant to D.C. Code, sec. 20-102, the undersigned personal representative(s) of the estate of _________________________, solemnly declares and affirms under penalty of law that the contents of the foregoing document are true and correct to the best of the personal representative's knowledge, information and belief. _________________________________ _________________________________ Signature of personal representative(s) CERTIFICATE OF SERVICE I hereby certify that on the ____ day of ____________________, 20____, I have mailed copies of the foregoing petition, postage prepaid, by first class mail, to the following interested persons (list name and address of all interested persons): ____________________________________ Signature September 2010 � 111B.10.v1 American LegalNet, Inc. www.FormsWorkFlow.com SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION _________ ADM _________ Estate of ________________________________ Deceased ORDER TERMINATING APPOINTMENT OF PERSONAL REPRESENTATIVE(S) Upon consideration of the petition for termination of the appointment of __________________________________ as personal representative(s) of the estate of the abovecaptioned decedent, pursuant to D.C. Code, sec. 20-1301, and it appearing to the satisfaction of the Court that all necessary receipts of heirs or legatees have been filed, that due notice of this petition has been given to all residuary legatees or heirs and all creditors who have presented their claims but have not been paid in full and that no objection has been filed, it is by the Court this _____________ day of _________________________, 20__, ORDERED that the appointment of _______________________________________________ as the personal representative of the estate of ___________________________________________, be and the same hereby is terminated. ____________________________________ JUDGE Copies to: September 2010 � 111B.10.v1 American LegalNet, Inc. www.FormsWorkFlow.com