PC-1.4 (11/02, formerly SW-72) Petition for Probate of Will Date filed: _____________________ Court use only STATE OF RHODE ISLAND County of ___________________________________ PROBATE COURT OF THE Estate of ____________________________________ _________________________________________________ Alias _______________________________________ Alias _______________________________________ No. ____________________ ____________________ Date PETITION FOR PROBATE OF WILL Respectfully represents that: Name of Deceased: ___________________________________________ Personal estate estimated at: $_____________ Name of Deceased Resided in: ________________________________________ Died testate: ___________________________________ City/Town of Residence Date of death Your petitioner: ___________________________________________________________________________ Name Relationship to Deceased ___________________________________________________________________________ No. Street ___________________________________________________________________________ City/Town State Zip Phone Number Respectfully requests that: The accompanying instrument dated ____________________________ may be admitted to probate as the last will and Date Will and/or Codicil Was Signed testament of the deceased and that: [ ] letters testamentary [ ] letters of administration c. t. a. may be issued to: (check one) _______________________________________________ _______________________________________________ Name of Nominee Relationship to Deceased Naofm Co-Noe minee (if any) Relationship to Deceased _______________________________________________ _______________________________________________ No. Street No. Street _______________________________________________ _______________________________________________ City/Town State Zip Phone Number City/Town State Zip Phone Number Deceased left the following surviving spouse and heirs at law who would inherit had deceased died intestate: (Indicate any minors or incompetents.) NAME ADDRESS RELATIONSHIP (spouse) Attach form PC9.1, Waiver, if applicable. The undersigned petitioner makes affidavit and says that the above facts are true as to the best of his/her knowledge f. and belie __________________________________________ __________________________________________ Signature of petitioner Date _____________________________________________ Sc. Subscribed and sworn to before me as to the truth of all of the above facts by the petitioner. __________________________________________ __________________________________________ Notary public (please print nam e) Notary public signatur e >>>> 2PC-1.4 (11/02, formerly SW-72) Page 2 DECREE Upon 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 Deceased Upon the filing of a bond in the sumof: $__________________ [ ] With surety ________________________ [ ] Without surety (if with surety, i ndicate type) [ ] letters testamentary [ ]letters of administration c. t. a. (check one) may issue to: _______________________________________________ _______________________ ________________________ Name of Nominee N ame of Co-Nominee (if any) _______________________________________________ _______________________ ________________________ No. Street No. Street _______________________________________________ _______________________ ________________________ City/Town State Zip Phone Num b er City/Town State Zip Phone Number Appointed APPRAISER(s): (if different from above) _______________________________________________ _______________________ ________________________ Name N ame _______________________________________________ _______________________ ________________________ No. S treet N o. S treet _______________________________________________ _______________________ ________________________ City/Town State Zip Phone Number yCit/Town State Zip Phone Numb er Appointed RESIDENT AGENT(s): _______________________________________________ _______________________ ________________________ Name N ame _______________________________________________ _______________________ ________________________ No. S treet N o. S treet _______________________________________________ _______________________ ________________________ City/Town State Zip Phone Number City/Town State Zip Phone Numb er Entered as an order and decree of the court on: _______________________________________________ _______________________ ________________________ Date Probate Judge Attorney of record: Advertised Dates (or copy of ad) _______________________________________________ ______________________________________ Name B ar Number _______________________________________________ ______________________________________ No. Street _______________________________________________ ______________________________________ City/Town State Zip Phone Numb er