IN THE CIRCUIT COURT FOR FLORIDA IN RE: ESTATE OF COUNTY, PROBATE DIVISION File No. Deceased. Division PETITION FOR ADMINISTRATION (Intestate Florida Resident - Single Petitioner) Petitioner, 1. Petitioner has an interest in the above estate as , alleges: . Petitioner's address is 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] , and the last four digits of whose social security number are at County, Florida. , . On the date of death, decedent was domiciled in So far as is known, the names of the beneficiaries of this estate and of the 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-3.0120 - 1 of 2 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com 4. 5. Venue of this proceeding is in this county because , whose address is , is ____________________________________________________________________________ . qualified under the laws of the State of Florida to serve as personal representative of the decedent's estate and is entitled to preference in appointment as personal representative because _________________________________________________________________________. 6. The nature and approximate value of the assets in this estate are: 7. 8. 9. This estate (will)be required to file a federal estate taxestate tax return. will (will not) be required to file a federal return. After the exercise of reasonable diligence, petitioner is unaware of any unrevoked wills or codicils of decedent. are known to be pending in another state Domiciliary or principal probate proceedings(are)(are not) known tobe pending in anotherstate or country. Letters have been issued by _____________________________________________________, the address of which is _________________________________________________________________ , to , whose address _____________________________________________________________________________. [delete if inapplicable] Petitioner requests that be appointed personal representative of the estate of the decedent. 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 __________________________, ________. _______________________________________ Attorney for Petitioner E-Mail Addresses: _______________________________________ _______________________________________ Florida Bar No. (address) Telephone: ______________________________ Bar Form No. P-3.0120 - 2 of 2 © Florida Lawyers Support Services, Inc. January 1, 2017 Petitioner [Print or Type Names Under All Signature Lines] American LegalNet, Inc. www.FormsWorkFlow.com