Petition for Probate of Will 01/2018 STATE OF INDIANA ) IN THE ALLEN SUPERIOR COURT ) SS: PROBATE DIVISION COUNTY OF ALLEN ) CAUSE NUMBER: IN RE: THE ESTATE OF ) ) ) ) petitions the Court and states: The decedent, , an adult / a minor, who died on , is believed to have died testate, leaving a LAST WILL AND TESTAMENT dated , and codicil or codicils dated respectively. An electronic copy of the will and codicil(s) are submitted to the Court. The original copies of these , and will be retained for the duration of any estate administration or at least 3 months from the date admitted to probate, whichever period is longer. After making such will and any such codicils, the marital status of the decedent was not changed by divorce or annulment, except as follows: . (If changed by divorce or annulment, see Ind. Code 29-1-5-8.) I affirm, under the penalties for perjury, the foregoing representations are true. Dated: Signature of Petitioner Petitioner Address: Attorney Address (if applicable): Supreme Court ID Number: PETITION FOR PROBATE OF WILL American LegalNet, Inc. www.FormsWorkFlow.com