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Excerpt: AOC-805 Rev. 10-05 Page 1 of 3 Doc. Code: PPW or PWF Case No._____________________ District/Probate Court_________________________ Commonwealth of Kentucky Court of Justice www.courts.ky.gov KRS 394.145; KRS 395.015 PETITION County_______________________ IN RE: Estate of ______________________________________________________________________________________ Decedent's Information: SSN: _______________ Birthdate: ______________ Date of Death: _______________ Last Address: ______________________________________________________________________________________ _____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Decedent died: [ ] Intestate (without a Will) [ ] Testate (with a Will) [ ] PROBA
AOC-805 Rev. 10-05 Page 1 of 3

Doc. Code: PPW

or PWF

Case No._____________________ District/Probate Court_________________________

Commonwealth of Kentucky Court of Justice www.courts.ky.gov KRS 394.145; KRS 395.015

PETITION

County_______________________

IN RE: Estate of ______________________________________________________________________________________ Decedent's Information: SSN: _______________ Birthdate: ______________ Date of Death: _______________

Last Address: ______________________________________________________________________________________ _____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Decedent died: [ ] Intestate (without a Will) [ ] Testate (with a Will)

[ ] PROBATE OF WILL PETITION FOR [ ] APPOINTMENT OF ADMINISTRATOR/ADMINISTRATRIX [ ] APPOINTMENT OF EXECUTOR/EXECUTRIX Petitioner states there has been no previous administration in the Decedent's estate in Kentucky or elsewhere. Further, Petitioner states that the statements in the caption are true, and that the names of the surviving spouse, heirs at law and next of kin known to Petitioner are as follows (use additional paper if necessary): Name: _____________________________________________ Relation: ______________________ Age: __________ Address: _________________________________________________________________________________________ _____________________________________________________________________________________________________ ____________________________________________________________________________________________________

Name: _____________________________________________ Relation: ______________________ Age: __________ Address: _________________________________________________________________________________________ _____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Name: _____________________________________________ Relation: ______________________ Age: __________ Address: _________________________________________________________________________________________ _____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Decedent owned/had interest in the following real estate with estimated market values as noted: __________________________________________________________________________________________________________ _________________________________________________________________________________ ________________________________________________________________________________ _________________________________________________________________ Estimated Total: $ ________________

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AOC-805 Rev. 10-05 Page 2 of 3

Case No._____________________

Decedent owned/had interest in the following personal property with estimated market values as noted: ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ __________________________________________________________ Estimated Total: $ _______________________ Petitioner is indebted to or owes Decedent $______________. [ ] Petitioner applies for probate of Decedent's Will, filed herewith, which is his/her Last Will and Testament. [ ] Petitioner prays ______________________________________________________________, whose address is ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ be appointed [ ] Executor/Executrix [ ] Administrator/Administratrix of said estate and who offers as surety on the bond the following: _________________________________________________. All the foregoing statements are true. Petitioner's Signature:________________________________________________Phone No.: _____________________ Petitioner's Name (Printed): ____________________________________________________________________________ Petitioner's Address:___________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________

Subscribed and sworn before me by Petitioner on ________________________, 2_______. My commission will expire: ________________________, 2_______. _________________________________________________________ Name/Title

This certifies this Petition was prepared or subscribed by the undersigned in accordance with the meaning and tenor of Kentucky Civil Rule No. 11. (Attorney must prepare and present separate Order of Probate or complete Order
on Page 3 of this Petition). (To be filled in duplicate).

Attorney's Signature:_____________________________________________

Phone No.:______________________

Attorney's Name (Printed): __________________________________________________________________________ Address:_________________________________________________________________________________________ ________________________________________________________________________________________________ _________________________________________________________________________________________________

WAIVER We, the undersigned, surviving spouse and next of kin of the above-named Decedent, resident of __________________ ____________ County, Kentucky, hereby waive notice of the hearing of the Petition and if applicable, the presentation of said Decedent's Will for probate and/or appointment of fiduciary, and request the Court to appoint __________________ ____________________________________________ as [ ] Executor/Executrix [ ] Administrator/Administratrix. ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________

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AOC-805 Rev. 10-05 Page 3 of 3

Case No._____________________

IN RE: Estate of_________________________________________________________________________________

ORDER
[ ] [ ] Petition filed this ______ day of ______________, 2_____. Will tendered this ______ day of ______________, 2_____.

Upon hearing, the Will offered was proven by ____________________________________________________________ and ORDERED PROBATED as the Last Will and Testament of Decedent this ______ day of ______________, 2_____. The Court appoints: _____________________________________________________________________________as

[ ] Executor/Executrix OR [ ] Administrator/Administratrix of said estate and fixes bond in the sum of $______________________ [ ] with surety OR [ ] without surety.

Date:

______________________, 2_____.

_________________________________________________ Judge's Signature

Distribution: Case File Revenue Cabinet

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File Size: 940.9 kB
Pages: 3
Date: July 22, 2008
File Format: PDF
State: Kentucky
Category: Court Forms - State
Author: jason_davis
Word Count: 458 Words, 7,569 Characters
Page Size: Letter (8 1/2" x 11")
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http://courts.ky.gov/NR/rdonlyres/864D0385-3BDD-4E84-B979-A2150FAC6972/0/805.pdf