IN THE CIRCUIT COURT FOR FLORIDA IN RE: ESTATE OF COUNTY, PROBATE DIVISION File No. Division Deceased. ORDER DETERMINING HOMESTEAD STATUS OF REAL PROPERTY (Testate ­ Not Devised, Minor Child But No Surviving Spouse ­ Exempt From Claims) On the petition of for an order determining homestead status of real property (the "Property"), all interested persons having been served proper notice of the petition and hearing, or having waived notice thereof, the court finds that: 1. The decedent died testate and was domiciled in County, Florida; 2. 3. 4. The decedent was not survived by a spouse, but was survived by one or more minor children; Decedent's homestead is not devisable; At the time of death, the decedent owned and resided on the Property described in the petition; it is, therefore, ADJUDGED that the following-described Property: Bar Form No. P-4.0463 - 1 of 2 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com constituted the homestead of the decedent within the meaning of Section 4 of Article X of the Constitution of the State of Florida. ADJUDGED FURTHER that, as of the decedent's date of death, title to the Property descended and the constitutional exemption from the claims of decedent's creditors inured to the decedent's lineal descendants: NAME ADDRESS RELATIONSHIP SHARE ADJUDGED FURTHER that the personal representative is authorized and directed to surrender all of the Property which may be in the possession or control of the personal representative to the persons named above and the personal representative shall have no further responsibility with respect to it. ORDERED on , . Circuit Judge Bar Form No. P-4.0463 - 2 of 2 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com