en-USRespectfully represents:en-USName of the en-USDeceaseden-USPersonal estate $en-USestimated aten-USResided inen-USCity/Townen-US en-USDate of Death en-USPetitioner:en-USNameen-USRelationship to en-USDeceaseden-USStreet Addressen-USCity/Townen-USStateen-USZipen-USCodeen-USPhoneen-USNumberen-USrespectfully represents:en-USName of Former Fiduciaryen-UShas en-US(check one)en-US: died resigned been removed en-USwithout having en-US(check one)en-US: fully administered said estate fully executed the will en-USTherefore, I/we request that:en-USName of en-USNomineeen-USRelationship toen-USDeceaseden-USStreet Addressen-USCity/Townen-USStateen-USZip en-USCodeen-USName of Co-en-USNomineeen-US (if any)en-USRelationship toen-USDeceaseden-USStreet Addressen-USCity/Townen-USStateen-USZip en-USCodeen-USor any other suitable person be appointed to administer the estate not yet administered.en-USPetitioner: en-USTo the best of my knowledge or belief, the statement(s) contained within this document are truthful and accurate.en-USSignature of en-USPetitioneren-USDateen-USNotary:en-USName of Notaryen-USStateen-USCountyen-USOn day of , 20the petitioner, known to me or proved through satisfactory evidence, signed the en-USen-USSignature of Notary Publicen-USDateen-USCommission ID#en-USCommission Expiration Dateen-USNotary Seal en-USDATE FILEDen-USFORen-USCOURT USE ONLY en-USADMINISTRATION DE BONIS NONen-US en-USRIGL 33-8-10en-USORen-USADMINISTRATION DE BONIS NON CUM TESTAMENTO ANNEXOen-US en-USRIGL 33-8-9en-USPC-1.2 (Rev. 04/17) State of Rhode Island and Providence Plantations en-USProbate Courten-USPage 1 of 2 en-USSTATE OF RHODE ISLANDen-USCounty ofen-USEstate ofen-USAlias en-USPROBATE COURT OF THEen-USNo. SIGN HERE American LegalNet, Inc. www.FormsWorkFlow.com en-USDECREEen-USUpon hearing, it is hereby ordered and decreed:en-USFiduciary en-USNameen-USStreet en-USAddressen-USCity/Townen-USStateen-USZip Codeen-USEmailen-USPhone en-USNumberen-USCo-Fiduciary en-USNameen-USStreet en-USAddressen-USCity/Townen-USStateen-USZip Codeen-USEmailen-USPhone en-USNumberen-USis/are hereby appointed to administer the estate not already administered.en-USBond Fixed at: $en-US en-USWith Surety en-US Without Suretyen-US With the will annexed en-US(check if appropriate) en-USAppointed en-USRESIDENT en-USAPPRAISER(S)en-US:en-USCheck box if Appraiser(s) is/are the same as above en-USORen-US Complete Appraiser(s) information below.en-USAppraiser en-USNameen-USStreet en-USAddressen-USCity/Townen-USStateen-USZip Codeen-USEmailen-USPhone en-USNumberen-USCo-Appraiser en-USNameen-USStreet en-USAddressen-USCity/Townen-USStateen-USZip Codeen-USEmailen-USPhone en-USNumberen-USAppointend en-USRESIDENT AGENT:en-USResident Agenten-USNameen-USStreeten-USAddressen-USCity/Townen-USStateen-USZip Codeen-USEmailen-USPhoneen-USNumberen-USForm PC-3.5 Appointment of Agent, if applicable.en-USEntered as an order and decree of the court on:en-USProbate Judgeen-USDateen-USSignature ofen-USProbate Judgeen-USPC-1.2 (Rev. 04/17) en-USPage 2 of 2 P SIGN HERE American LegalNet, Inc. www.FormsWorkFlow.com