700-00001SMPetition to Open Small Estate (07/2019) Page 1 of 2
STATE
OF
VERMONT
SUPERIOR COURT
PROBATE DIVISION
Unit
Docket No.
In re ESTATE of:
PETITION TO OPEN SMALL ESTATE
14 V.S.A. Ch. 81
__________________________________ was a resident of ______________________________________
Decedent Town/State
and died on ________________________ leaving personal property valued at $45,000 or less and no real
estate.
Decedent left: no known Last Will and Testament OR
Last Will and Testament dated _______________________
Codicil(s) to the Will, if any, dated ____________________
Attached are:
1. Entry fee; checks or money orders payable to Vermont Superior Court
2. Certified copy of the death certificate
3. List of Interested Persons (form 700-00002)
4. ORIGINAL Will and any Codicils (if any)
5. Notarized inventory of assets at cash value as of the date of death (form 700-00030)
6. Copy of paid funeral bill (or bond as required by the Court).
Petitioner requests a small estate be opened and the following named person be appointed to administer the
estate:
_______________________________________________________________________
Proposed Executor/Administrator
_______________________________________________________________________
Mailing Address
___________________________________ /___________________________________
Telephone Email
This is the person named as executor in the Will.
ACCEPTANCE OF APPOINTMENT
I accept the appointment as Executor/Administrator and ask that the appointment documents be issued to me
at the address above.
_______________________________ ______________________________________________
Date Signature of Executor/Administrator
700-00001SMPetition to Open Small Estate (07/2019) Page 2 of 2
CONSENT OF INTERESTED PERSONS
We, the heirs at law of the decedent, consent to the Allowance of the Will, if any, the Petition to Open
Decedent’s Estate and the appointment of the above as Executor/Administrator.
I acknowledge I have been served with the Petition to Open Decedent’s Estate in the above entitled action,
including all papers referred to in the Petition. I waive the right to object to any action of the Court, regarding
the Petition referred to above, and I waive the requirements for a Hearing regarding such Petition.
Unless all heirs consent to the allowance of the Will, if any, and the appointment of the above names as
Executor/Administrator, the Court will hold a hearing.
Signature Print Name Date
_________________________________ _________________________ _____________________
_________________________________ _________________________ _____________________
_________________________________ _________________________ _____________________
_________________________________ _________________________ _____________________
_________________________________ _________________________ _____________________
_________________________________ _________________________ _____________________
_________________________________ _________________________ _____________________
Petitioner’s signature must be notarized.
_______________________________________ __________________________________________
Date Signature of PetitionerIF NOT EXECUTOR .ADMINISTRATOR NAME ABOVE
_______________________________________________________________________________________
Mailing Address
_____________________________________________ / ________________________________________
Telephone Email
Signed and sworn to before me:
Date Signature of Notary Public Expiration Date