CERTIFICATION
I, ____________________________________________, Clerk of the __________________ District
Court, do certify this constitutes a true and correct copy of the Order Admitting Will to Probate and Appointing
Executor/Executrix, as recorded in my office.
Date: _________________, 2_____. ________________________________________ Clerk
By: _____________________________________, D.C.
AOC - 806 Doc. Code: OWF Case No.
Rev. 12-03
Page 1 of 1 Court District Probate
Commonwealth of Kentucky
Court of Justice www.kycourts.net County
KRS Chapters 394 and 395
O
RDER PROBATING WILL AND
APPOINTING EXECUTOR/EXECUTRIX
IN RE: Estate of _________________________________________________________________________________
Decedent’s Date of Death: __________________ SSN: ________________________
The Petition for probate of the Will of the above-named Decedent and for appointment of an Executor/Executrix
came on for hearing on _________________, 2____. The Will was produced in open court and was [ ] self-proved
under KRS 394.225 OR [ ] proved by ________________________________________________________________.
IT IS THEREFORE ORDERED that the Will be, and it is, hereby admitted to probate as the Last Will and Testament
of the Decedent. IT IS FURTHER ORDERED that _______________________________________________________,
with an address of _________________________________________________________________________________
________________________________________________________________________________________________
______________________________________________________________________________________________,
be and is, hereby appointed Executor/Executrix of said estate. The Court fixes bond in the sum of $ __________________.
WHEREUPON said Executor/Executrix took the oath prescribed by law and entered into and acknowledged the
above-mentioned bond with [ ] approved Surety OR [ ] Surety having been waived.
Date: ________________, 2_____. ____________________________________________ Judge
NOTICE OF ENTRY WAIVED:
____________________________________________
Petitioner’s OR Attorney’s Signature
Distribution:
Original - Court File (with certified copy of Will)
Copies - Executor/Executrix
Revenue Cabinet (Inheritance Tax Section)
Certified Copy - County Clerk (with original of Will); Petitioner is responsible for recording fee.
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