IN THE CIRCUIT COURT FOR FLORIDA IN RE: ESTATE OF COUNTY, PROBATE DIVISION File No. Division Deceased. PETITION TO DETERMINE AMOUNT OF ELECTIVE SHARE (Contribution Not Required) Petitioner, estate of 1. On timely election to take elective share. 2. An order determining that the surviving spouse is entitled to take an elective share has been entered in this proceeding. 3. The names and addresses of each direct recipient known to the personal representative are set forth on Schedule A attached. 4. All property to be taken into account in computing the elective share, as described in Florida Statutes Section 732.2035 and valued as provided in Section 732.2055, is set forth on the Elective Estate Inventory served with this petition. 5. All valid claims paid or payable from the elective estate are set forth on Schedule B attached. 6. All mortgages, liens or security interests on the assets (except to the extent they were already deducted in valuing the assets listed on the Elective Estate Inventory) are set forth on Schedule C attached.. 7. Petitioner has determined that the elective share amount is $ . , who died on , , as personal representative of the , alleges: , the surviving spouse of the decedent filed a 8. Petitioner is unaware of any will or trust of the decedent which provides sources for payment of the elective share amount, other than as provided in Section 732.2075 or that varies the order of abatement provided in Section 733.805 of the or that varies the contribution or abatement provided in Sections 736.05053. 9. After application of assets the surviving spouse has received or is entitled to receive, described in Section 732.2075(1), in partial satisfaction of the elective share amount, there are sufficient assets in decedent's probate estate and revocable trust, if any, to satisfy the balance of the elective share amount without contribution from direct recipients within Classes 2 and 3. Bar Form No. P-4.0560 - 1 of 2 © Florida Lawyers Support Services, Inc. Revised January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com 10. The names and addresses of all persons (and if represented by an attorney, the name and address of the attorney) having an interest in this matter are listed on Schedule D attached. 11. In accordance with Section 732.2075, it is proposed that the assets set forth on the attached Schedule E shall either be applied to satisfy the elective share or shall be distributed to the surviving spouse from the probate estate or revocable trust, if any, in satisfaction of the elective share at the time and in the manner set forth thereon. Petitioner requests that an order be entered: (1) establishing the amount of the elective share as alleged in paragraph 7 of this petition, and (2) authorizing the application and distribution of the assets listed on Schedule E to the surviving spouse in satisfaction of the elective share within the time and manner determined by this Court. 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 _________________________, ________. Petitioner Attorney for Petitioner Email Addresses: _______________________________________ _______________________________________ Florida Bar No. (address) Telephone: [Print or Type Names Under All Signature Lines] Bar Form No. P-4.0560 - 2 of 2 © Florida Lawyers Support Services, Inc. Revised January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com