SURROGATE222S COURT OF THE STATE OF NEW YORK þ COUNTY OF þ þ þ XPROBATE PROCEEDING, þ þ APPLICATION FORWILL OF þ þ PRELIMINARY LETTERS TESTAMENTARY þ þ (See SCPA 1412)a/k/a þ þ þ þ File # þ þ Deceased. þ þ X þ 1. þ The proposed preliminary executor (s) is/are þ þ and is/are designated as executor (s) in the Will of the above named decedent dated þ þ (together with Codicil (s) dated þ þ þ þ þ þ þ þ þ 2. þ The person (s) who would have a right to letters testamentary pursuant to Section 1412.1 is/are: [Enter 223NONE224 or specify name and interest] þ þ þ 3. þ Preliminary letters are requested for the following reasons: þ þ þ þ þ þ þ 4. þ Probate is expected to be completed by: þ þ 5. þ A contest þ is þ is not expected. þ 6. þ The testamentary assets of decedent222s estate are estimated as follows: [describe and state value; þ þ þ þ þ þ Personal Property: þ þ þ þ þ þ þ Total Personal Property: $ þ þ Real Property: þ þ þ þ þ þ þ Total Real Property: þ $ þ þ 18 months rent, if applicable: þ þ þ þ þ þ þ Total of 18 month222s rent: $ þ American LegalNet, Inc. www.FormsWorkFlow.com þ 7. þ The liabilities of this estate are: þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ security þ for the performance of his/her/their duties. þ Your applicant (s) respectfully request the issuance to þ þ of preliminary letters testamentary upon qualifying.Dated: þ þ þ þ (Applicant) þ þ þ (Applicant)OATH & DESIGNATION OF PRELIMINARY EXECUTORSTATE OF NEW YORK þ þ )COUNTY OF þ þ ) þ ss.: þ I, the undersigned, þ being duly sworn say: þ 1. þ OATH OF PRELIMINARY EXECUTOR: I am over eighteen (18) years of age and a citizen of the United States; I am an executor named in the Will described in the foregoing petition and will well, faithfully and honestly discharge the duties of preliminary executor and duly account for all money or property which may come into my hands. I am not ineligible to receive letters. þ 2. þ DESIGNATION OF CLERK FOR SERVICE OF PROCESS: I hereby designate the Clerk of the Surrogate222s Court of þ þ þ þ þ þ þ þ þ þ person on whom service of any process issuing from such Surrogate222s Court may be made, in like manner and with like effect as if it were served personally upon me whenever I cannot be found and served within the State of New York after due diligence used.My domicile is : þ þ (Street Address) þ (City/Town/Village) þ (State) þ (Zip) þ þ þ (Signature of Petitioner) þ þ þ þ (Print Name) þ On þ , 20 þ , before me personally came þ þ þ , to me known to be the person described in and who executed the foregoing instrument. Such person duly swore to such instrument before me and duly acknowledged that he/she executed the same.Notary Public: þ Commission Expires: þ þ þ þ þ Signature of Attorney: þ Print Name: þ Firm Name: þ þ Tel No.: þ Email: þ Address of Attorney: þ þ NOTE: Each Preliminary Executor must complete a combined Oath & Designation of Preliminary Executor. American LegalNet, Inc. www.FormsWorkFlow.com CONSENT AND DESIGNATION OF CORPORATE PRELIMINARY EXECUTORSTATE OF NEW YORK þ þ )COUNTY OF þ þ ) þ ss.: þ I, the undersigned, a þ of(Title) þ (Name of Bank or Trust Company) þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ 1. þ CONSENT: I consent to accept the appointment as Preliminary Executor under the Last Will and þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ 2. þ DESIGNATION OF CLERK FOR SERVICE OF PROCESS: I designate the Chief Clerk of the Surrogate222s Court of þ þ þ þ þ þ þ þ þ þ þ person on whom service of any process issuing from such Surrogate222s Court may be made, in like manner and whenever þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ (Name of Bank or Trust Company)BY þ þ þ (Signature) þ þ þ (Print Name and Title) þ On þ , 20 þ , before me personally came þ þ þ , to me known, who duly swore to the foregoing instrument and who did say that he/she resides at þ þ þ and that he/she is a þ þ of þ the corporation/national banking association described in and which executed such instrument, and that he/she signed his/her name thereto by order of the Board of Directors of the corporation.Notary Public: þ Commission Expires: þ þ þ þ þ Signature of Attorney: þ Print Name: þ Firm Name: þ þ Tel No.: þ Email: þ Address of Attorney: þ þ American LegalNet, Inc. www.FormsWorkFlow.com