PR-1854, 10/10 Petition for Discharge of Special Administrator (Formal Administration) 247247867.17 and 867.21, 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 Pe tition for Discharge of Special Administrator (Formal Administration) Case No. UNDER OATH, I STATE: 1. I am the special administrator of this estate. 2. I completed the assigned duties. 3. I have attached my Estate Account (PR-1814) form for the administration of this estate from [Date of Death or Date of prior account] to [Date] . 4. Other: I REQUEST THE COURT: 1. Discharge me as special administrator and cancel my bond, if any. 2. Other: State of County of Subscribed and sworn to before me on Notary Public/Court Official Name Printed or Typed My commission/term expires: Special Administrator Name Printed or Typed Address Telephone Number Date Form completed by: (Name) Address Telephone Number Bar Number American LegalNet, Inc. www.FormsWorkFlow.com