Respectfully represents:Name of the DeceasedPersonal Estate Estimated at $Resided in City/Town Date of Death (Died Testate)Petitioner:NameRelationship to DeceasedStreet AddressCity/TownStateZip CodeEmailPhone NumberRespectfully requests:The accompanying instrument dated(date the Will and/or Codicil was signed) may be admitted to Probate as the last will and testament of the deceased and that: letters testamentary OR letters of administration c.t.a may be issued to:Name of NomineeRelationship to DeceasedStreet AddressCity/TownStateZip CodeEmailPhone NumberName of Co-Nominee (if any)Relationship to DeceasedStreet AddressCity/TownStateZip CodeEmailPhone NumberNAMERELATIONSHIPADDRESSSpouseForm PC-9.1, Waiver, if applicable. Petitioner:Signature of PetitionerDateNotary:Name of NotaryStateCountyOn day of , 20the petitioner, known to me or proved through satisfactory evidence, signed the document in Signature of Notary PublicDateCommission ID#Commission Expiration DateNotary Seal(Indicate any minors or incompetents.) STATE OF RHODE ISLANDCounty ofEstate ofAlias DATE FILEDFORCOURT USE ONLY PROBATE COURT OF THECity or Town ofNo. PETITION FOR PROBATE OF WILLRIGL 33-22-2(or any other suitable person be appointed to administer.)PC-1.5 (Rev. 07/17) State of Rhode Island and Providence PlantationsProbate CourtPage 1 of 2 SIGN HERE American LegalNet, Inc. www.FormsWorkFlow.com Deceased left the following surviving spouse and heirs at law:NAMERELATIONSHIPADDRESS(Indicate any minors or incompetents.)PC-1.5 (Rev. 07/17) Page 1A of 2 American LegalNet, Inc. www.FormsWorkFlow.com DECREEUpon hearing, it is hereby ordered and decreed:The instrument herewith presented may be admitted to probate as the last Will and testament of:Name of DeceasedFiduciary NameStreet AddressCity/TownStateZip CodeEmailPhone NumberCo-Fiduciary NameStreet AddressCity/TownStateZip CodeEmailPhone NumberBond Fixed at: $ With Surety Without Surety letters testamentary letters of administration c.t.a. Appointed APPRAISER(S):Check box if Appraiser(s) is/are the same as above OR Complete Appraiser(s) information below.Appraiser NameStreet AddressCity/TownStateZip CodeEmailPhone NumberCo-Appraiser NameStreet AddressCity/TownStateZip CodeEmailPhone NumberAppointed RESIDENT AGENT:ResidentAgent NameStreet AddressCity/TownStateZip CodeEmailPhone NumberEntered as an order and decree of the court on:Probate JudgeDateSignature of Probate JudgePC-1.5 (Rev. 07/17) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com