PR-1852, 10/10 Order for Special Administration (Formal Administration) 247247867.07, 867.13, 867.17, 879.05 and 879.57, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2 STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF THE ESTATE OF Name Amended Order for Special Administration (Formal Administration) Case No. A Petition for Special Administration was filed or the court acts on its own motion. THE COURT FINDS: 1. The decedent, with date of birth and date of death was domiciled in County, State of , with a mailing address of . 2. The court has jurisdiction, is the proper venue and there is a statutory basis for appointment of a special administrator. 3. Notice was given to all persons entitled to notice. waived. deemed unnecessary by the court and the appointment should be made without delay. 4. Other: THE COURT ORDERS: 1. Letters of special administration be issued to , mailing address . 2. A signature bond A surety bond in the sum of $ is required. No bond is required. 3. The special administrator is granted A. only these specific powers and duties: B. (following a hearing on notice to, or waiver of notice by, all interested parties) all the same powers, duties and liabilities as a personal representative. Except: 4. Other: THIS IS A FINAL ORDER FOR THE PURPOSE OF APPEAL IF SIGNED BY A CIRCUIT COURT JUDGE. American LegalNet, Inc. www.FormsWorkFlow.com PR-1852, 10/10 Order for Special Administration (Formal Administration) 247247867.07, 867.13, 867.17, 879.05 and 879.57, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2 Form completed by: (Name) Address Telephone Number Bar Number American LegalNet, Inc. www.FormsWorkFlow.com