Court of Common Pleas of Philadelphia County Orphans' Court Division FOR COURT USE ONLY ASSIGNED TO JUDGE CONTROL NO. Cover Sheet Responding parties must include this number on all filings. NAME OF ESTATE ORPHANS' COURT NUMBER TYPE OF ESTATE Decedent's Estate Trust Inter Vivos Testamentary Trust Principal (power of attorney) Non-Profit Corporation Incapacitated Person Minor Other (specify) FILING PARTY'S RELATIONSHIP TO ESTATE PLEADING OR DOCUMENT FILED NAME OF FILING PARTY (NOT COUNSEL FOR THE PARTY) ADDRESS ATTORNEYS MUST CHECK ONE BOX TO THE CLERK OF ORPHANS' COURT: Kindly enter my appearance on behalf of I have entered my appearance on behalf of NAME OF FILING ATTORNEY OR PARTY PHONE NUMBER ADDRESS FAX NUMBER SUPREME COURT IDENTIFICATION NO. E-MAIL ADDRESS SIGNATURE OF FILING ATTORNEY OR PARTY DATE OTHER PARTIES (Name, address, and telephone number of unrepresented parties or all counsel already of record. If needed, use separate sheet.) A STAMPED, SELF-ADDRESSED ENVELOPE MUST BE ATTACHED FOR EACH ATTORNEY OF RECORD AND UNREPRESENTED PARTIES (FOR PRELIMINARY DECREES ATTACH AN ENVELOPE FOR THE FILING PARTY ONLY). Is notice required? If Citation is requested: 1. No Yes. Copy of notice attached to pleading. Date of Notice: 2. Was Citation against Respondent previously issued? Yes No If yes, date of service: Has another petition been decided in this case? Yes No Is another petition pending? Yes No If yes, identify the Judge: Yes. All joinders are attached. FOR COURT USE ONLY - FIRST FILINGS ONLY (If Applicable) DATE OF BIRTH DATE OF DEATH REGISTER OF WILLS NUMBER DATE OF DEED OF TRUST The Filing Party shall complete the information at the bottom of the Cover Sheet filed with the Clerk, and not the service copies. The information will only be used by the Clerk. The Clerk shall not release this information to the general public. 11-23 2002 © American LegalNet, Inc.