SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION _________ ADM _________ _________ INT _________ Estate of _________ IDD _________ ___________________________________________________ _________ GDN _________ Deceased/Minor/Ward _________ TRP _________ _________ CON _________ PRO SE MOTION FOR _____________________________________________________________ The undersigned interested person hereby asks the Court to grant the following motion: 1. Name of interested person: __________________________________________________ 2. Nature of the interested person’s legal interest (for example, heir, legatee, conservator, guardian, creditor): ________________________________________________________ 3. Reason for motion: ________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 4. Relief requested. (What do you want the Court to do?): ___________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Jan. 2010 American LegalNet, Inc. www.FormsWorkFlow.com WHEREFORE movant asks that this motion be granted. ______________________________________ Signature _________________________________________ Typed Name ____________________________________ Address (Actual address/not Post Office Box) _________________________________________ ______________________________________ Telephone number The $20.00 filing fee is enclosed made payable to “Register of Wills.” CERTIFICATE OF SERVICE I hereby certify that on the _____ day of ________________, 20__, a copy of the foregoing petition was served by first class mail, postage prepaid, on the following parties (list names and addresses of all parties): _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ ____________________________________ Signature Jan. 2010 American LegalNet, Inc. www.FormsWorkFlow.com SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION _________ ADM _________ _________ INT _________ Estate of _________ IDD _________ ___________________________________________________ Deceased/Minor/Ward _________ GDN _________ _________ TRP _________ _________ CON _________ ORDER Upon consideration of the pro se motion for ___________________________________________ filed herein by ______________________________________, and any response thereto, it is hereby, by the Court, this ________day of _________________, 20_____, ORDERED 1. That the motion be 2. That ____________________________________________________________________ Granted Denied ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ____________________________________ JUDGE cc: _________________________________ _________________________________ _________________________________ ______________________________ ______________________________ ______________________________ _________________________________ __________________________________ __________________________________ ______________________________ ______________________________ ______________________________ __________________________________ __________________________________ __________________________________ ______________________________ ______________________________ ______________________________ Jan. 2010 American LegalNet, Inc. www.FormsWorkFlow.com