Subscribed and sworn before me by Petitioner on _______________________, 2______. My commission will expire:
________________________, 2_______.
___________________________________________
Name/Title
This certies 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 lled in duplicate).
Attorney’s Signature:___________________________________________ Phone No.:_____________________
Attorney’s Name (Printed): _______________________________________________________________________
Address:______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Decedent owned/had interest in the following personal property with estimated market values as noted:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________ Estimated Total: $ _______________________
Petitioner is indebted to or owes Decedent $______________.
q Petitioner applies for probate of Decedent's Will, led herewith, which is his/her Last Will and Testament.
q Petitioner prays ____________________________________________________________, whose address is
_______________________________________________________________________________________________
_______________________________________________________________________________________________
be appointed q Executor/Executrix q 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:______________________________________________________________________________
_______________________________________________________________________________________________
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 duciary, and request the Court to appoint ________________________________
as q Executor/Executrix q Administrator/Administratrix.
____________________________________________ ____________________________________________
____________________________________________ ____________________________________________
____________________________________________ ____________________________________________
____________________________________________ ____________________________________________
AOC-805
Rev. 2-17
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