IN THE CIRCUIT COURT, FIRST JUDICIAL CIRCUIT IN AND FOR OKALOOSA COUNTY, FLORIDA, PROBATE DIVISION IN RE: Estate of: CASE NO. ______CP __________ ________________________________ Deceased CONSENT TO DISPOSITION OF PERSONAL PROPERTY The undersigned consents to ____________________________________, the petitioner, receiving the following property: Description of Asset ______________________ ______________________ ______________________ Account Number _________________ _________________ _________________ Dollar Amount _____________ _____________ _____________ and waives all claims, rights, title, and interest in said property. Sworn and subscribed to before me this ________ day of ________________, 20____, who____is personally known or _______produced identification. Type of Identification produced________________________________________. Statement made before: ______________________________ (Signature) ______________________________ (Print Name) ______________________________ (Street Address) ______________________________ (City, State, Zip Code) ______________________________ (Telephone) _____________________________ (Deputy Clerk of Notary) My commission expires: American LegalNet, Inc. www.FormsWorkFlow.com