IN THE CIRCUIT COURT FOR FLORIDA IN RE: ESTATE OF COUNTY, PROBATE DIVISION File No. Deceased. Division PETITION FOR ADMINISTRATION (Testate 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, , , and the last four digits of whose social security number are at County, Florida. , . whose last known address was and, if known, whose age was died on , On the date of death decedent was domiciled in 3. 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, are: NAME ADDRESS RELATIONSHIP YEAR OF BIRTH [if Minor] Bar Form No. P-3.0100 - 1 of 3 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com 4. Venue of this proceeding is in this county because 5. 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. This estate (will) (will not) be required to fileestate tax estate tax return. will be required to file a federal a federal return. Domiciliary or principal proceedings (are)(are not) known to pending in in anotherstate or are known to be be pending another state or country. Letters have been issued by the address of which is to address is 9. Strike each statement that is not applicable: a. The decedent's last will dated codicil(s), if any, dated possession of the court or accompan b. c. 10. paragraph 9. Petitioner requests that the decedent's will be admitted to probate and that jurisdiction accompan this petition. this petition. , , , and , is in thein the . whose An authenticated copy of a will and/or codicil deposited with or probated in another An authenticated copy of a notarial will or codicil, the original of which is in the possession of a foreign notary, accompanies this petition. Petitioner is unaware of any unrevoked will or codicil of decedent other than as set forth in be appointed personal representative of the estate of the decedent. Bar Form No. P-3.0100 - 2 of 3 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com Under penalties of perjury, I declare that I have r ad the foregoing, and the facts alleged are true, to e 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-3.0100 - 3 of 3 © Florida Lawyers Support Services, Inc. January 1, 201 American LegalNet, Inc. www.FormsWorkFlow.com