IN THE CIRCUIT COURT FOR THE CITY OF ST. LOUIS STATE OF MISSOURI PROBATE DIVISION In the Estate of: ) ) Estate No. ) ) Deceased. ) WAIVER OF STATUTORY REQUIREMENTS 226 STATEMENT OF ACCOUNT AND CLOSING OF THE ESTATE Comes now, a beneficiary of the above estate, and hereby waives the statutory requirements in connection with the Statement of Account and the termination of the estate, as specifically noted below: Initial All Items Waived Publication of filing Statement of Account Notice of filing Statement of Account Complete accounting of receipts and disbursements/Settlement Objections to the Statement of Account and Proposed Schedule of Distribution Date Signature (Printed Name) STATE OF MISSOURI ) ) SS. CITY OF SAINT LOUIS ) Subscribed and sworn to before me this day of. Notary Public My commission expires: American LegalNet, Inc. www.FormsWorkFlow.com