Register of Wills of Philadelphia County, Pennsylvania PETITION FOR GRANT OF LETTERS No. Estate of also known as , Deceased Social Security No. Petitioner, who is 18 years of age or older, applies for: (COMPLETE 'A' or 'B' BELOW:) G A. Probate and Grant of Letters Testamentary and aver that Petitioner is the Execut and codicil(s) dated of the Decedent, dated named in the last Will State relevant circumstances, e.g., renunciation, death of executor, etc. Except as follows, Decedent did not marry; was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: G B. Grant of Letters of Administration (c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. County, Pennsylvania with Decedent was domiciled at death in last family or principal residence at (list street, number, and municipality) Decedent, then years of age, died , 20 at (Location) Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania $ $ $ $ situated as follows: Wherefore, Petitioner respectfully requests the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: Signature Typed or printed name and residence APPENDIX A: Form 1 - Petition for Grant of Letters © Philadelphia Bar Association and Wachovia Bank, National Association Blue Book American LegalNet, Inc. www.USCourtForms.com Oath of Personal Representative Commonwealth of Pennsylvania County of Philadelphia The Petitioner above-named swears or affirms that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner and that, as personal representative of the Decedent, Petitioner will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me the day of , 20 For the Register No. Estate of , Deceased Social Security No: AND NOW, Date of Death: , 20 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters G Testamentary G of Administration (c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) are hereby granted to in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters . . . . . . . . . . . . . . . Short Certificate(s) ( Renunciation(s) ( $ Register of Wills ) .... $ ) ....... $ Affidavit(s) ( Extra Pages ( ) ....... $ Codicil . . . . . . . . . . . . . . . $ JCP . . . . . . . . . . . . . . . . . Attorney: ) .......... $ $ I.D. No: Address: Inventory . . . . . . . . . . . . . . . $ Other . . . . . . . . . . . . . . . . . . $ TOTAL . . . . . . . . . . . . . $ Telephone: APPENDIX A: Form 1 - Petition for Grant of Letters © Philadelphia Bar Association and Wachovia Bank, National Association Blue Book American LegalNet, Inc. www.USCourtForms.com