IN THE CIRCUIT COURT OF JACKSON COUNTY, MISSOURI - PROBATE DIVISION AT IN THE ESTATE OF ESTATE NUMBER , Deceased. APPLICATION TO AMEND ORDER REFUSING LETTERS (Sec. 473.090 RSMo) Comes now (Survi ving Spouse) (Creditor) ofthe above captioned decedent and first being duly sworn, states that on , an order of this court was entered refusing letters on the estate of said decedent, which estate was then represented by applicant to consist of property of value described in Exhi A attachbit ed hereto andincorporated herein by this reference. Applicant further states that thereafter additional assets of said estate were discovered, which are of value described in Exhi B attachbit ed hereto and incorporated hereinby this reference and that the value of which less liens and encumbrances, together with the value of the assets listed in the aforesaid order * is not greater in amount than that to which the applicant, as surviving spouse, and the unmarried minor children of decedent, are entitled by law as exempt property and the allowance under Section 474.260, RSMo. * does not exceed $15,000.00. WHEREFORE, applicant prays the court to amend its order of , refusing letters on said estate, by listing and including therein the said assets discovered after the entry thereof, and set forth herein. The undersigned swears that the matters set forth herein are true and correct to the best knowledge and belief of the undersigned, subject to the penalties of making false affidavit or declaration. Applicant: Address: / zipTelephone Number: ( ) Attorney: MO BA R No Address: / zipTelephone Number: ( ) Fax Number: ( ) E-Mail Address: * Strike inapplicable Form 10505