IN THE CIRCUIT COURT OF COUNTY, MISSOURI Probate Division Case Number: In the Estate of , Deceased. (Date File Stamp) Application to Amend Order Refusing Letters (Surviving Spouse/Unmarried Minor Child(ren)/Creditor) Applicant, , surviving spouse on behalf of , unmarried minor child(ren) creditor of the decedent, first being duly sworn, states that on an order(s) of this court was entered refusing letters on the estate of said decedent, which estate was thpren reseented by applicant to consist of property of value described in the previous order(s). Applicant further states that thereafter additional assets of said estate were discovered consisting of: Description of Property Value See Appendix A. Total $ (for spouses and unmarried minor Ths)e total value of all property, including property described in the previous order(s), less liens and encumbrances, is not grere iant amount than that to which the applicant, as surviving spouse and/or theunmarried minor c hild(ren) ofdecedent is(are) entitled blawy as exempt property and the allowance under Section 474.260, RSMo. (for creditors) The entire estate of decedent does not exceed the value of $15,000.00. Wherefore, applicant prays the court to amend its previousr(ors) rdeefusing letters on said estate by listing and including therein the said ass dietsscovered after the entry thereof. The applicant swears that the matters set forth above are true and correct to the best knowledge and belief of the applicant, subject to the penalties of making a false affidavit or declaration. Date: Signature of Attorney for Applicant Signature of Applicant (Name/Bar Number/Address/Telephone) (Name/Address/Telephone) OSCA (8-02) PR30 1 of 2 473.090 RSMo>>>> 2 Appendix A Decedent: Case Number: Description of Property Value Real Property Personal Property TOTAL: $ OSCA (8-02) PR30 2 of 2 473.090 RSMo