COMMONWEALTH OF PENNSYLVANIA COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY ORPHANS' COURT DIVISION APPEAL FROM REGISTER OF WILLS Will No. _________ of ________ Adm. No._________ of ________ Misc. No._________ of ________ ESTATE OF: _____________________________, ________________ O.C. NO. __________ OF __________ TO THE REGISTER OF WILLS OF PHILADELPHIA COUNTY: The undersigned, a party in interest, appeals to the ORPHANS' COURT of said County from the decision of the REGISTER OF WILLS in the Estate: Check one Admitting to Probate a certain writing, dated the _____ day of _______________________, ______ as the last will of said decedent, and granting letters testamentary thereon. Granting letters of administration to ______________________________. With respect to the Inheritance Tax Assessment. _______________________________________________ Appellant's Signature _______________________________________________ Print Appellant's Name, Address & E-Mail Address _______________________________________________ _______________________________________________ Attorney:________________________________ Address: ________________________________ I.D. No. ___________________________ Phone No. _________________________ ______________________________________________________________________ E-Mail Address: _____________________________________________________________ Date Filed: _____________________ 7-20-16 American LegalNet, Inc. www.FormsWorkFlow.com