PR-1960, 10/10 Application for Ancillary Administration 247247859.07 and 868.03, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF THE ESTATE OF Name Amended Application for Ancillary Administration Case No. UNDER OATH, I STATE: 1. The decedent, with date of birth and date of death , was domiciled in County, State of , with a mailing address of . 2. I am interested as . 3. The estimated value of decedent's property in Wisconsin requiring administration is $ . 4. An authenticated copy of domiciliary letters from a foreign jurisdiction is filed with this application. 5. The names and mailing addresses of all interested persons are listed below: (For any person with disabilities, also list any guardian of estate; for any person in the military, also list attorney or attorney in fact; and for any minor, list date of birth.) Name Relationship Mailing Address If Minor, Date of Birth 6. Other: I REQUEST THE COURT: 1. Grant the application for ancillary administration. 2. Issue Ancillary Letters to . 3. Other: Signature Name Printed or Typed Address Telephone Number Date Form completed by: (Name) Address Telephone Number Bar Number American LegalNet, Inc. www.FormsWorkFlow.com