Name: __________________________________________ Relation: ______________________ Age: _________
Address: ______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Decedent’s Information: SSN: ______________ Birthdate: _______________ Date of Death: _________________
Last Address: __________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Decedent died: q Intestate (without a Will) q Testate (with a Will)
AOC-805 Doc. Code: PPW
Rev. 2-17 or PWF
Page 1 of 3
Commonwealth of Kentucky
Court of Justice www.courts.ky.gov
KRS 394.145; KRS 395.015
PETITION
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IN RE: Estate of _________________________________________________________________________________
q PROBATE OF WILL
PETITION FOR q APPOINTMENT OF ADMINISTRATOR/ADMINISTRATRIX
q 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):
Decedent owned/had interest in the following real estate with estimated market values as noted:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
______________________________________________________________ Estimated Total: $ ________________
Name: __________________________________________ Relation: ______________________ Age: _________
Address: ______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Name: __________________________________________ Relation: ______________________ Age: _________
Address: ______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Case No. ____________________
Court ____________________
County ____________________
Division ____________________
Subscribed and sworn before me by Petitioner on _______________________, 2______. My commission will expire:
________________________, 2_______.
___________________________________________
Name/Title
This certies 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
Page 2 of 3
IN RE: Estate of _________________________________________________________________________________
ORDER
q _______ day of _________________, 2______Petition led this .
q 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 q Executor/Executrix OR
q Administrator/Administratrix of said estate and xes bond in the sum of $__________________ q with surety OR
q without surety.
________________________________, 2_______ ____________________________________________
Date Judge’s Signature
Distribution: Case File
Revenue Cabinet
AOC-805
Rev. 2-17
Page 3 of 3
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