700 - 000 0 1SM Petition to Open Small Estate (0 5 /201 8 ) Page 1 of 2 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No. In r e ESTATE of: PETITION TO OPEN SMALL ESTATE 14 V.S.A. Ch. 81 was a resident of Decedent Town/State and died on leaving personal property valued at $10,000 or less and no real estate. Decedent is survived by (check all that apply) : Surviving Spouse Children (natural or adopted) Parents Decedent left : no known L ast Will and Testament OR L ast Will and Testament dated C odicil(s) to the Will , if any, dated Attached are: 1. Entry fee ; checks or money orders payable to Vermont Superior Cour t 2. Certified copy of the death certificate 3. List of Interested Persons (form 700 - 00002) 4. ORIGINAL Will and any Codicils (if any) 5. Notarized inventory of assets at cash value as of the date of death (form 700 - 00030) 6. Copy of paid funeral bill (or bond as required by the Court). P etitioner request s a small estate be opened and the following named person be ap pointed to administer the estate : Proposed Executor/Administrator Mailing Address Telephone/Email This is the person named as executor in the Will. ACCEPTANCE OF APPOINTMENT I accept the appointment as Executor/Administrator and ask that the appointment documents be issued to me at the address above. Date Signature of Executor/Administrator American LegalNet, Inc. www.FormsWorkFlow.com 700 - 000 0 1SM Petition to Open Small Estate (0 5 /201 8 ) Page 2 of 2 CONSENT OF INTERESTED PERSONS We, the heirs at law of the decedent, consent to the Allowance of the Will, if any, the Petition to Open Estate in the above entitled action, including all papers referred to in the Petition. I waive the right to object to any action of the Court, regarding the Petition referred to above, and I waive the requirements for a Hearing regarding such Petition. U nless all heirs consent to the allowance of the Will, if any, and the appointment of the above names as Executor/Administrator, the Court will hold a hearing. Signature Print Name Date Date Signature of Petitioner IF NOT EXECUTOR.ADMINISTRATOR NAME ABOVE Mailing Address Telephone/Email Signed and sworn to before me: Date Signature of Notary Public Expiration Date American LegalNet, Inc. www.FormsWorkFlow.com