Probate Court No. 5 List of Interested Persons for a Testate Estate STATE OF VERMONT DISTRICT OF _______________________, ss PROBATE COURT IN RE ESTATE OF _________________________________ LATE OF _________________________ DOCKET NO. _________________ LIST OF INTERESTED PERSONS FOR A TESTATE ESTATE Unless otherwise directed by the court, list all heirs-at-law of the deceased. Also list all legatees, devisees, beneficiaries and executors, trustees and guardians, named in the Will who have not already been listed. The list must include the name, mailing address including the zip code, the manner and degree of relationship of the person to the deceased, the interest in the estate as legatee, devisee or beneficiary, and the date of birth of the person if the person is a minor. Attach this form to Form No. 4. Use additional forms, if necessary. Name (Print) Mailing Address Relationship Date of Birth ________________________ _______________________ _______________________ _______________________ __________________ _____________ ________________________ _______________________ _______________________ _______________________ __________________ _____________ ________________________ _______________________ _______________________ _______________________ __________________ _____________ ________________________ _______________________ _______________________ _______________________ __________________ _____________ ________________________ _______________________ _______________________ _______________________ __________________ _____________ ________________________ _______________________ _______________________ _______________________ __________________ _____________ ________________________ _______________________ _______________________ _______________________ __________________ _____________ ________________________ _______________________ _______________________ _______________________ __________________ _____________ ________________________ _______________________ _______________________ _______________________ __________________ _____________ American LegalNet, Inc. www.USCourtForms.com