IN THE CIRCUIT COURT, JEFFERSON COUNTY, MISSOURI In the matter of ____________________________________________________________ Decedent No. _________________ APPLICATION FOR PROBATE OF WILL Come(s) now ______________________________________________________________________________, and state(s) that _____________________________________________________________________________, who resided at __________________________________________________________, St. Louis County, Missouri, died Street Address City State Zip Code testate on the ____ day of _____________, ______ , that decedent left an instrument purporting to be _____ last will dated the ____ day of ______________, ______ , ____________________________________________________ ____________________________________________________________. The decedent’s will At death decedent was self proving. (if widowed – date of death of spouse ___________). The spouse’s residence is _________________________________________________________________________ , Street Address ______________________________ , ________ City State _________ . Zip Code WHEREFORE, your applicant prays the court consider said instrument(s) in writing to be duly proved, admitted to probate, certified and recorded as the last will and testament of the decedent. The foregoing is made on this ____ day of _____________ , ______ , under oath or affirmation and its representations are true and correct to the best of applicant’s knowledge and belief subject to the penalties of making a false affidavit or declaration. ___________________________________________ ________________________________________ Attorney’s Signature Applicant’s Signature ___________________________________________ ________________________________________ Attorney’s Name (Typed) Applicant’s Name (Typed) ___________________________________________ ________________________________________ Street Address Street Address ___________________________________________ ________________________________________ City City State Zip Code ___________________________________________ Telephone No. State Zip Code ________________________________________ Telephone No. American LegalNet, Inc. www.FormsWorkflow.com