IN THE PROBATE DIVISION, CIRCUIT COURT, ST. LOUIS COUNTY, MISSOURI In the matter of ________________________________________________________________ Decedent No. ______________________ PETITION FOR LETTERS OF ADMINISTRATION Come(s) now _____________________________________________________________, of full age, and state(s) that ________________________________________________________, _______, _______, whose domicile and last Age Sex residence address was _______________________________________________________________________________, Street Address City State Zip Code St. Louis County, Missouri, died intestate on the _______ day of ________________________________, _________; that decedent left real property in the State of Missouri with a probable value of $________________________________ and personal property with a probable value of $______________________________________; that petitioner(s) as the _______________________________________________________________________________________of decedent (relationship) is qualified to be appointed personal representative(s) of decedent's estate by: statute; consent of all interested parties; by authorization of this court.. he she they will make a perfect inventory of the estate, pay the debts and Petitioner(s) further state(s) that legacies, if any, as far as the assets extend and the law directs, account for and distribute or pay all assets which come into his her their possession and perform all things required by law touching the administration of the estate. single; married; widowed ­ date of death of spouse ________________; divorced. At death, decedent was The surviving spouse is ______________________________________ who resides at _________________________ _________________________________________________________________________________________. If married, decedent's spouse is is not the parent of all of decedent's children. Petitioner(s) further state(s) that the NAMES, RESIDENCE ADDRESSES and RELATIONSHIPS to decedent of the heirs are set forth on the attached Exhibit A - Heirs; further the names and addresses of any guardians or conservators of any minors or disabled heirs and the birthdates of any minor heirs are set forth on the attached Exhibit A ­ Heirs. For Court's Use Only: KPLAD ­ Ptn Ltrs Administration KIAG ­ Ind Adm Req. KIANB ­ Ind Adm Req w/o bond KSAG ­ Supervised Adm Req KSANB ­ Supervised Adm Req w/o bond American LegalNet, Inc. www.FormsWorkFlow.com 1 There are no other heirs known to petitioner(s) who are of unsound mind or other heirs whose names and addresses are unknown to petitioner(s). Supervised Independent administration is requested. If independent administration is requested, consents of all heirs to independent administration are attached hereto. WHEREFORE, petitioner(s) pray(s) that the court appoint ________________________________________________ as personal representative(s) to administer decedent's estate the required bond. If petitioner(s) is a nonresident of Missouri or is a corporation organized under the laws of another state or country, that petitioner appoint ________________________________________________ as resident agent for service of process. The foregoing is made on this ___________ day of _______________________, _______, under oath or affirmation, and its representations are true and correct to the best of petitioner(s) knowledge and belief subject to the penalties of making a false affidavit or declaration. ______________________________________________ Attorney's Signature with without supervision of the court and upon filing ___________________________________________ Applicant's Signature _______________________________________________ Attorney's Name (Typed) ___________________________________________ Applicant's Name (Typed) ______________________________________________ Street Address ___________________________________________ Street Address ______________________________________________ City State Zip Code ___________________________________________ City State Zip Code _____________________________________________ Telephone and Fax Number ______________________________________________________ E-mail Address ____________________________________________ Telephone ______________________________________________ Attorney's Signature ___________________________________________ Applicant's Signature ______________________________________________ Attorney's Name (Typed) ___________________________________________ Applicant's Name (Typed) ______________________________________________ Street Address ___________________________________________ Street Address ______________________________________________ City State Zip Code ___________________________________________ City State Zip Code _____________________________________________ Telephone and Fax Number ______________________________________________________ E-mail Address ____________________________________________ Telephone and Fax Number _______________________________________________________ E-mail Address 2 American LegalNet, Inc. www.FormsWorkFlow.com ______________________________________________________ Designated Resident Agent's Signature ______________________________________________________ Designated Resident Agent's Name (Typed) Publish Notice of Affidavit in: Missouri Lawyers Media (St. Louis Countian) St. Louis County Legal Ledger St. Louis Post Dispatch ____________________________________________ Street Address ____________________________________________ City State Telephone and Fax Number Zip Code ____________________________________________ 3 American LegalNet, Inc. www.FormsWorkFlow.com