IN THE CIRCUIT COURT OF ST. LOUIS COUNTY, MISSOURI Probate Division Case Number: In the Estate of __________________________________________, Deceased. (Date File Stamp) Application of Unmarried Minor Child(ren) for Refusal of Letters (No Surviving Spouse or Nonapplicant Children) The applicant states that applicant is the guardian natural parent conservator of the estate court appointed custodian of __________________________, unmarried minor child(ren) of the decedent who died on ______________________, residing at ______________________________, survived by the above named minor child(ren), no surviving spouse and no other unmarried minor children. Decedent left property, in this State, the value of which, less liens and encumbrances, is not greater in amount than that is allowed by law as exempt property and maintenance of said unmarried minor child(ren) for one year after the death of decedent, which said estate consists solely of the property described and of the value as follows: Description of Property Value $ $ $ ________________ Total $ 0.00 Wherefore, applicant prays that the court order that no letters be granted on said estate unless on the application of creditors or other interested parties, the existence of other or further property is shown. The applicant swears that the matters set forth above are true and correct to the best knowledge and belief of the applicant, subject to the penalties of making a false affidavit or declaration. Date: _________________________________ ______________________________________ Signature of Attorney for Applicant _______________________________________ _______________________________________ _______________________________________ (Name/Bar Number/Address/Telephone) _________________________________ Signature of Applicant _________________________________ _________________________________ _________________________________ (Name/Address/Telephone) OSCA PR25 (8-02) RSMo 1 of 2 473.090.1 (1) American LegalNet, Inc. www.FormsWorkflow.com Appendix A Decedent: Description of Property Real Property $ $ $ $ $ $ $ $ $ $ Personal Property $ $ $ $ $ $ $ $ $ $ Case Number: Value TOTAL: $ 0.00 OSCA PR25 (8-02) RSMo 2 of 2 473.090.1 (1) American LegalNet, Inc. www.FormsWorkflow.com