SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION _________ ADM _________ Estate of ___________________________________________________ Deceased/Minor/Ward _________ INT _________ _________ IDD _________ _________ GDN _________ _________ TRP _________ _________ CON _________ _________ SEB _________ PRO SE MOTION FOR _____________________________________________________________ The undersigned interested person hereby asks the Court to grant the following motion: 1. 2. 3. Name of interested person: __________________________________________________ Nature of the interested person's legal interest (for example, heir, legatee, conservator, guardian, creditor): ________________________________________________________ Reason for motion: ________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 4. Relief requested. (What do you want the Court to do?): ___________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ January 2014 ­ 138.10.v2 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 __________________________________________ Email address ______________________________________ Bar number (if filer is an attorney) The $20.00 filing fee is enclosed made payable to "Register of Wills." CERTIFICATE OF SERVICE I certify that on the ____ day of ____________________, 20____, a copy of this filing was either eServed in accordance with the provisions of Administrative Order 13-15 or served by first class mail, postage prepaid, on the following persons (list names and complete mailing addresses): ____________________________________ Signature January 2014 ­ 138.10.v2 American LegalNet, Inc. www.FormsWorkFlow.com SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION _________ ADM _________ Estate of ___________________________________________________ Deceased/Minor/Ward _________ INT _________ _________ IDD _________ _________ 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. 2. That the motion be Granted Denied That ____________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ____________________________________ JUDGE cc: January 2014 ­ 138.10.v2 American LegalNet, Inc. www.FormsWorkFlow.com