Fillable For Office Use Only Clerks Office Street, NWthird (Superior Court of DC)

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For Office Use Only Clerks Office Street, NWthird (Superior Court of DC)

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SUPERIOR COURT OF THE DISTRICT OF COLUMBIA
PROBATE DIVISION
Clerk’s Office
515 5
TH
Street, NW—third floor
Washington, DC 20001
202-879-9460
COPY REQUEST FORM
For Office Use Only
Received by: ____________________________________ __________
Print Full Name Date
Completed on: ________________________
Date
Mailed or Picked up on: _______________________
Date
Today’s Date: _____/______/______
Case Name: _____________________________________________
Decedent / Minor / Ward
Case Number: ______________________________________________
(
Example: Year, Case Type, Sequence Number--2009 ADM 432)
________ ADM _________ __________ FEP _________
________ INT _________ __________ IDD _________
________ SEB _________ __________ CON _________
_________NRT _________ __________ DIS _________
________ GDN _________ ________ _ LIT _________
________ TRP _________ __________ WIL _________
_______ PBM ________ _________ FOI ________
Please Check
:
□ Plain Copies # of pages _________ @ $0.50 per page (please list documents wanted on back) →
□ Preliminary Certificate # of certificates _________ @ $1.00 each
□ Final Certificate # of certificates _________ @$10.00 each
□ Certified Copies # of certified copies _____@ $5.00 each + # of pages ________@ $0.50 per page
□ Triple Seal # of Triple Seals _____ @ $25.00 each + # of pages ________ @ $0.50 per page
□ Additional Letters of: □Administration □Guardianship □Conservatorship □Special Administrator
# of letters _____ @ $1.00 each
TOTAL COST: $ ________________________
If mailing, please do not send cash. Please make check or money order payable to the
“Register of Wills.”
Please Check:
□ I want my copies/letters mailed to me.
Name ___________________________________
Address ___________________________________
___________________________________
□ I want to pick up my copies/letters
Name ____________________________________
Phone __________________________________
Phone ___________________________________
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For Office Use Only Clerks Office Street, NWthird (Superior Court of DC)

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Completed 31 January 2021

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