IN THE CIRCUIT COURT FOR FLORIDA IN RE: ESTATE OF File No. Division Deceased. COUNTY, PROBATE DIVISION ORDER DETERMINING HOMESTEAD STATUS OF REAL PROPERTY (Testate ­ Devised, Spouse, No Minor Child ­ 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 survived by a spouse but no minor child; Decedent's homestead is devised to the decedent's spouse; At the time of death, the decedent owned and resided on the Property described in the petition; it is ADJUDGED that the following-described Property: Bar Form No. P-4.0464 - 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 the Property was validly devised to and the constitutional exemption from the claims of decedent's creditors inured to the surviving spouse, , whose post office address is _____________________________________________________________, as of the decedent's date of death. 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 surviving spouse, and the personal representative shall have no further responsibility with respect to it. ORDERED on , . Circuit Judge Bar Form No. P-4.0464 - 2 of 2 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com