IN THE CIRCUIT COURT FOR FLORIDA IN RE: ESTATE OF File No. Deceased. COUNTY, PROBATE DIVISION Division ORDER ADMITTING CODICIL TO PROBATE (Self-Proved) The instrument presented to this court as the codicil to the last will of , deceased, having been executed in conformity with law, and made self-proved by the acknowledgment of the decedent and the affidavits of the witnesses, made before an officer authorized to administer oaths and evidenced by the officer's certificate attached to or following the codicil in the form required by law, and no objection having been made to its probate, and the court finding that the decedent died on ADJUDGED that the codicil dated , , , it is , and attested by as subscribing and attesting witnesses, is admitted to probate according to law as the codicil to the last will of the decedent. ORDERED on , . Circuit Judge Bar Form No. P-3.0470 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com