IN THE CIRCUIT COURT OF THE CITY OF ST. LOUIS STATE OF MISSOURI PROBATE DIVISION In re the Matter of: ) ) ) Estate No. ) Incapacitated/Disabled/Minor ) PETITION TO DISPENSE WITH ADMINISTRATION AND FOR ORDER OF DISTRIBUTION (Section 475.320 Mo. Rev. Stat.) Comes now, , Conservator of the within Estate, and petitions this Court for an Order of Distribution to the Heirs of as directed in section 475.320 of the Missouri Revised Statutes, and in support thereof states: 1. Petitioner is the duly appointed Conservator of the within Estate. 2. , the protectee/minor of the within estate, died on , while a resident of the City of St. Louis. 2. No administration has been commenced in the City of St. Louis or any where else to the best of Petitioner222s knowledge. No writing purporting to be Decedent222s Will has been found or probated. There are no debts for which decedent222s estate would be liable, except those debts and claims paid or payable by the Conservator in this proceeding. 3. All funeral and burial expenses for the decedent have been paid. Decedent222s estate was not of sufficient value to require the filing of a Federal nor State Estate Tax Return. 4. All obligations of the Conservator and all expenses of administration have been paid or will be paid from the remaining assets of the estate. 5. The heirs of decedent are: American LegalNet, Inc. www.FormsWorkFlow.com Name Address Relationship 6. The balance of the assets of the estate consist of: REAL PROPERTY: American LegalNet, Inc. www.FormsWorkFlow.com PERSONAL PROPERTY: Description Value WHEREFORE, Petitioner prays an order of this Court approving Petitioner222s Settlement to Death and ordering this Conservator to make distribution to the heirs of the balance of the assets of the Estate. The aforesaid was made under oath or affirmation and its representations are true and correct to the best of the undersigned222s knowledge and belief subject to the penalties of making a false affidavit or declaration. Signature of Conservator Date: Respectfully submitted Attorney222s Signature Attorney222s Name Typed/Printed and MBE # Address City State Zip Telephone No. Fax No. E-Mail Address American LegalNet, Inc. www.FormsWorkFlow.com