IN THE CIRCUIT COURT FOR FLORIDA IN RE: ESTATE OF COUNTY, PROBATE DIVISION File No. Division Deceased. ORDER ADMITTING WILL TO PROBATE AND OF SUMMARY ADMINISTRATION (Self-Proved) On the petition of summary administration of the estate of the court finding that the decedent died on , for , deceased, ; that all interested persons have been served proper notice of the petition and hearing or have waived notice thereof; that the material allegations of the petition are true, that the writing presented to this court as the last will of , deceased, having been executed in conformity with law and made self-proved at the time of its execution by the acknowledgement of the decedent and the affidavits of the witnesses, made before an officer authorized to administer oath's and evidenced by the officer's certificate attached to or following the will in the form required by law, and no objection having been made to its probate and that the decedent's estate qualifies for summary administration and an Order Admitting Will to Probate and of Summary Administration should be entered, it is ADJUDGED that: 1. The will dated ____________________________________, __________, and attested by as subscribing and attesting witnesses, is admitted to probate according to law as the last will of the decedent. 2. Name There be immediate distribution of the assets of the decedent as follows: Address Asset, Share or Amount Bar Form No. P-2.0500-1 of 2 �Florida Lawyers Support Services, Inc. New January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com 3. 4. Those to whom specified assets of the decedent's estate are distributed by this order have the Debtors of the decedent, those holding property of the decedent, and those with whom right to receive and collect those assets and to maintain actions to enforce their rights. securities or other property of decedent are registered, are authorized and directed to comply with this order by paying, delivering, or transferring to the beneficiaries specified above the parts of the decedent's estate distributed to them by this order, and the persons so paying, delivering, or transferring shall not be accountable to anyone else for the property. ORDERED on , . Circuit Judge Bar Form No. P-2.0500-2 of 2 �Florida Lawyers Support Services, Inc. New January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com