THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) MOTION TO RE-EXAMINE PROBATE WILL 1. Name Address 2. Executor of the will Address 3. Telephone Number Relationship to deceased Telephone Number The above-named executor offered a certain instrument, purporting to be the last will and testament of the above-named deceased, for probate; it was proved and allowed on , as the last will and testament of the deceased in common form and without notice. The above-named party seeks proof in solemn form and re-examination of the will based on the following: Examination of the witnesses to the will only. Examination based on the allegations set forth in the attached statement. 4. The party, having an interest in the will, requests that the probate of the will be re-examined, and proved in solemn form before the Probate Division, and that the former probate of the will be decreed void or affirmed in accordance with the laws of the State of New Hampshire. I certify that on this date I provided this document(s) to the parties who have filed an appearance for this case or who are otherwise interested parties by: Hand-delivery OR US Mail OR Email (E-mail only by prior agreement of the parties based on Circuit Court Administrative Order). Date Signature (must be signed in presence of notarial officer) State of This instrument was acknowledged before me on , County of by Date Name of Party filing motion My Commission Expires Affix Seal, if any Signature of Notarial Officer / Title NHJB-2243-P (03/25/2013) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com