PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF COUNTY, PENNSYLVANIA File Number Estate of also known as , Deceased Social Security Number Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) G A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the and codicil(s) dated last Will of the Decedent dated named in the (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 instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: G B. Grant of Letters of Administration (If applicable, enter: 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: (If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in County, Pennsylvania with his / her last principal residence at (List street address, town/city, township, county, state, zip code) Decedent, then years of age, died on at 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(s) respectfully request(s) 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 Form RW-02 rev. 10.13.06 Typed or printed name and residence Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA : : SS COUNTY OF : The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed Signature of Personal Representative before me the day of , Signature of Personal Representative For the Register Signature of Personal Representative File Number: Estate of , Deceased Social Security Number: AND NOW, Date of Death: , , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters 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 (and Codicil(s)) of Decedent. FEES Letters . . . . . . . . . . . . . . . Register of Wills $ Short Certificate(s) . . . . . . . . $ Renunciation(s) . . . . . . . . . . $ ... $ ... $ Attorney Signature: Attorney Name: Supreme Court I.D. No.: ... $ ... $ Address: ... $ ... $ ... $ ... $ Telephone: ... $ TOTAL . . . . . . . . . . . . . . $ Form RW-02 rev. 10.13.06 Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com