IN THE CIRCUIT COURT FOR FLORIDA IN RE: ESTATE OF COUNTY, PROBATE DIVISION File No. Division Deceased. PETITION FOR SUMMARY ADMINISTRATION (Testate Nonresident Decedent - Single Petitioner) Petitioner, _______________________________________________, alleges: 1. Petitioner has an interest in the above estate as . Petitioner's address is set forth in paragraph 3 and the name and office address of petitioner's attorney are set forth at the end of this petition. 2. Decedent, , whose last known address was , and, if known, whose age was _________, died on 3. are: NAME ADDRESS RELATIONSHIP YEAR OF BIRTH [if Minor] , date of death, decedent was domiciled in , and the last four digits of whose social security number are , at . , and on the So far as is known, the names of the beneficiaries of this estate and of decedent's surviving spouse, if any, their addresses and relationships to decedent, and the years of birth of any who are minors, Bar Form No. P-2.0219 - 1 of 3 � Florida Lawyers Support Services, Inc. Revised January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com 4. 5. Venue of this proceeding is in this county because . Domiciliary or principal probate proceedings (are) (are not) known to be pending in another to _______ ______ _. state or country. Letters have been issued by the address of which is whose address is 6. An authenticated copy of the decedent's last will, dated _____________________________ and an authenticated copy of so much of the domiciliary proceedings as is required by Florida Probate Rule 5.470 accompany this petition. Petitioner is unaware of any other unrevoked wills or codicils. 7. Petitioner is entitled to summary administration because: [Strike each statement that is not applicable.] a. b. c. 8. Assets Decedent's will does not direct administration as required by Florida Statutes Chapter 733. To the best knowledge of the petitioner, the value of the entire estate subject to administration in this state does not exceed $75,000. The decedent has been dead for more than two years. Estimated Value The following is a complete list of the assets in this estate and their estimated values: 9. With respect to claims of creditors: a. b. [Strike each statement that is not applicable.] All claims of creditors are barred. Petitioner has made diligent search and reasonable inquiry for any known or reasonably ascertainable creditors and (1) The estate is not indebted. (2) The estate is indebted and provision for the payment of debts and the information required by Florida Statutes Section 735.206 and Florida Probate Rule 5.530 are set forth on the attached schedule. 10. All creditors ascertained to have claims and which have not joined in the petition or consented to entry of the order requested will be served by formal notice with a copy of this petition. Bar Form No. P-2.0219 - 2 of 3 � Florida Lawyers Support Services, Inc. Revised January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com Petitioner acknowledges that any known or reasonably ascertainable creditor who did not receive timely notice of this petition and for whom provision for payment was not made may enforce a timely claim and, if the creditor prevails, shall be awarded reasonable attorney's fees as an element of costs against those who joined in the petition. 11. Name It is proposed that all assets of the decedent be distributed to the following: Asset, Share or Amount Petitioner waives notice of hearing on this petition and requests that the decedent's last will be admitted to probate and an order of summary administration be entered directing distribution of the assets in the estate in accordance with the schedule set forth in paragraph 11 of this petition. Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true, to the best of my knowledge and belief. Signed on this ______ day of ________________________, _______. Petitioner Attorney for Petitioner Email Addresses: _______________________________________ _______________________________________ Florida Bar No. (address) Telephone: [Print or Type Names Under All Signature Lines] Bar Form No. P-2.0219 - 3 of 3 � Florida Lawyers Support Services, Inc. Revised January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com