CIRCUIT COURT OF CLAY COUNTY, MISSOURI PROBATE DIVISION Estate No. CV2 In the estate of , deceased. APPLICATION FOR LETTERS OF ADMINISTRATION DBN Comes now the undersigned applicant and states: 1. That on , appointed personal representative of the above named decedent. 2. That on was , said personal representative _____, and there is now a vacancy in the office of personal representative. 3. The names, addresses and relationships of the persons presently interested in decedent’s estate are as follows: 4. Applicant is entitled to administer the estate because 5. If letters are issued to applicant, applicant will complete the administration of the estate as required by law. Wherefore, applicant prays that letters of administration of the goods unadministrated on said estate be issued to h____. THE STATEMENTS AND REPRESENTATIONS IN THIS DOCUMENT ARE MADE UNDER OATH AND ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THEY ARE MADE SUBJECT TO THE PENALTIES OF MAKING A FALSE AFFIDAVIT OR DECLARATION. ___________________________________ ATTORNEY BAR NO. ___________________________ ___________________________________ APPLICANT ADDRESS __________________________ ADDRESS __________________________ ___________________________________ ___________________________________ PHONE ____________________________ PHONE ____________________________ Form 595-D Revised 12/29/2004 Page 1 of 1 American LegalNet, Inc. www.USCourtForms.com