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COUNTY OF Receipt No: No:

X

PROBATE PROCEEDING,

PETITION FOR PROBATE AND:

WILL OF: □ Letters Testamentary

a/k/a □ Letters of Trusteeship

□ Letters of Administration c.t.a.

□ Temporary Administration

Deceased

X File No.

To the Surrogate’s Court, County of

It is respectfully alleged:

 1. (a)Thename,citizenship,domicile(or,inthecaseofabankortrustcompany,itsprincipalofce)and

interest in this proceeding of the petitioner are as follows:

Name:

(First) (Middle) (Last)

DomicileorPrincipalOfce:

(Street and Number)

(City, Village or Town) (State) (Zip Code)

Mailing Address:

(If different from domicile)

Citizen of:

Interest (s) of Petitioner (s): [Check one] □ Executor (s) named in decedent’s Will

□ Other (Specify)

1. (b) The proposed Executor □ is □ is not an attorney.

[NOTE: A sole Executor-Attorney must comply with 22 NYCRR 207.16(e)]

1. (c) The proposed Executor □ is □isnottheattorney-draftsperson,athen-afliatedattorney

or employee thereof.

   [NOTE:Anattorney-draftsperson,athen-afliatedattorneyoremployeethereofmustcomplywith

SCPA 2307-a]

1. (d) The proposed Executor □ is □ is not a convicted felon nor is he/she otherwise ineligible, pursuant to

SCPA707toreceiveletters.IftheproposedExecutorisaconvictedfelon,submitacopyoftheCerticateofRelieffrom

Civil Disabilities.

2. The name, domicile, date and place of death, and national citizenship of the above-named decedent as

follows:

(a) Name:

(b) Date of death

(c) Place of death

(d) Domicile: Street

City, Town, Village

County State

(e) Citizen of:

3. The Last Will, herewith presented, relates to both real and personal property and consists of an

instrument or instruments dated as shown below and signed at the end thereof by the decedent and the following

attesting witnesses:

(Date of Will) (Names of All Witnesses to Will)

(Date of Codicil) (Names of All Witnesses to Codicil)

 4.  NootherwillorcodicilofthedecedentisonleinthisSurrogate’sCourt,anduponinformationand

belief, after a diligent search and inquiry, including a search of any safe deposit box, there exists no will, codicil or other

testamentary instrument of the decedent later in date to any of the instruments mentioned in Paragraph 3 except as

follows: [Enter “NONE” or specify]

 5.  Thedecedentwassurvivedbydistributeesclassiedasfollows:[Informationisrequiredonlyasto

those classes of surviving relatives who would take the property of decedent pursuant to EPTL 4-1.1 and 4-1.2. State the

number of survivors in each class. Insert “NO” in all prior classes. Insert “X” in all subsequent classes].

a. □ Spouse (husband/wife).

b. □ Child or children and/or issue of predeceased child or children.

[Must include marital, nonmarital, adopted, or adopted-out of child under DRL Section 117]

c. □ Mother/Father.

d. □ Sisters and/or brothers, either of the whole or half blood, and issue of predeceased sisters

and/or brothers (nieces/nephews, etc.)

e. □ Grandparents. [Include maternal and paternal]

f. □ Auntsand/oruncles,andchildrenofpredeceasedauntsand/oruncles(rstcousins).

[Include maternal and paternal]

g. □ Firstcousinsonceremoved(childrenofpredeceasedrstcousins).[Includematernaland

paternal]

6. The names, relationships, domicile and addresses of all distributees (under EPTL 4-1.1 and 4-1.2), of

each person designated in the Will herewith presented as primary executor, of all persons adversely affected by the

purported exercise by such Will of any power of appointment, of all persons adversely affected by any codicil and of all

personshavinganinterestunderanyotherwillofthedecedentonleintheSurrogate’sCourt,arehereinaftersetforthin

subdivisions (a) and (b).

[If the propounded will purports to revoke or modify an inter vivos trust or any other testamentary

substitute,listthenames,relationships,domicileandaddressesofthetrusteeandbeneciariesaffectedbythewillin

subparagraphs (a) and (b) below. Submit trust agreement]

(a) All persons and parties so interested who are of full age and sound mind or which are corporations or

associations, are as follows:

Name and Relationship Domicile Address and Mailing Address Description of Legacy, Devise or Other

Interest, or Nature of Fiduciary Status

(b) All persons so interested who are persons under disability, are as follows:

   [FurnishallinformationspeciedinNOTEfollowing7b]

Name and Relationship Domicile Address and Mailing Address Description of Legacy, Devise or Other

Interest, or Nature of Fiduciary Status

7. (a) The names and domiciliary of all substitute or successor executors and of all trustees, guardians,

legatees,devisees,andotherbeneciariesnamedintheWilland/ortrusteesandbeneciariesofanyintervivostrust

designated in the propounded Will other than those named in Paragraph 6 herewith are as follows:

Name and Relationship Domicile Address and Mailing Address Description of Legacy, Devise or Other

Interest, or Nature of Fiduciary Status

  (b) Allsuchlegatees,deviseesandotherbeneciarieswhoarepersonsunderdisabilityareasfollows:

[FurnishallinformationspeciedinNOTEbelow]

Name and Relationship Domicile Address and Mailing Address Description of Legacy, Devise or Other

Interest, or Nature of Fiduciary Status

[NOTE: In the case of each infant, state (a) name, birth date, relationship to decedent, domicile and residence address,

and the person with whom he/she resides, (b) whether or not he/she has a court-appointed guardian (if not, so state), and

whether or not his/her father and/or mother is living, and (c) the name and residence address of any court-appointed

guardian and the information regarding such appointment. In the case of each other person under a disability, state (a)

name, relationship to decedent, and residence address, (b) facts regarding his disability including whether or not a

committee,conservator,guardian,oranyotherduciaryhasbeenappointedandwhetherornothe/shehasbeen

committed to any institution, and (c) the names and addresses of any committee, person or institution having care and

custody of him/her, conservator, guardian, and any relative or friend having an interest in his/her welfare. In the case of a

personconnedasaprisoner,stateplaceofincarcerationandlistanypersonhavinganinterestinhis/herwelfare.Inthe

case of unknowns, describe such person in the same language as will be used in the process.]

 8. (a) Nobeneciaryunderthepropoundedwill,listedinParagraph6or7above,hadacondential

relationship to the decedent, such as attorney, accountant, doctor, or clergyperson, except: [Enter “NONE” or indicate

the nature of the condential relationship].

(b) No persons, corporations or associations are interested in this proceeding other than those mentioned

above.

9. (a) To the best of the knowledge of the undersigned, the approximate total value of all property constituting

the decedent’s gross testamentary estate is greater than $ but less than $

Personal Property $ Improved real property in New York State $

Unimproved real property in New York State $

Estimated gross rents for a period of 18 months $

(b) No other testamentary assets exist in New York State, nor does any cause of action exist on behalf of

the estate, except as follows: [Enter “NONE” or specify]

10. Upon information and belief, no other petition for the probate of any will of the decedent or for letters of

administrationofthedecedent’sestatehasheretoforebeenledinanycourt.

WHEREFORE your petitioner (s) pray (s) that process be issued to all necessary parties to show cause why the

Will and the Codicil (s) set forth in Paragraph 3 and presented herewith should not be admitted to probate; (b) that an

order be granted directing the service of process, pursuant to the provisions of Article 3 of the S.C.P.A., upon the persons

named in Paragraph (6) hereof whose names or whereabouts are unknown and cannot be ascertained, or who may be

persons on whom service by personal delivery cannot be made; and (c) that such Will and Codicil (s) be admitted to

probate as a Will of real and personal property and that letters issue thereon as follows: [Check and complete all relief

requested.]

□ Letters Testamentary to

□ Letters of Trusteeship to f/b/o

f/b/o

□ Letters of Administration c.t.a. to

and that petitioner (s) have such other relief as may be proper.

Dated:

1. 2.

(Signature of Petitioner) (Signature of Petitioner)

(Print Name) (Print Name)

3.

(Name of Corporate Petitioner)

  (SignatureofOfcer)

  (PrintNameandTitleofOfcer)

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signature

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COMBINED VERIFICATION, OATH AND DESIGNATION

[For use when petitioner is an individual]

STATE OF NEW YORK )

COUNTY OF ) ss.:

The undersigned, the petitioner named in the foregoing petition, being duly sworn, says:

1. VERIFICATION: I have read the foregoing petition subscribed by me and know the contents thereof,

and the same is true of my own knowledge, except as to the matters therein stated to be alleged upon information and

belief, and as to those matters I believe it to be true.

2. OATH OF □ EXECUTOR □ ADMINISTRATOR c.t.a. □ TRUSTEE as indicated above: I am over

eighteen (18) years of age, and I will well, faithfully and honestly discharge the duties of Fiduciary of the goods, chattels

and credits of said decedent according to law. I am not ineligible, pursuant to SCPA 707, to receive letters and will duly

account for all moneys and other property that will come into my hands.

3. DESIGNATION OF CLERK FOR SERVICE OF PROCESS: I hereby designate the Clerk of the

Surrogate’s Court of County,andhis/hersuccessorinofce,asa

person on whom service of any process, issuing from such Court may be made in like manner and with like effect as if it

were served personally upon me, whenever I cannot be found and served within the State of New York after due diligence

used.

My domicile is :

(Street Address) (City/Town/Village) (State) (Zip)

(Signature of Petitioner)

(Print Name)

On ___________________________________________________ , 20 _________, before me personally came

to me known to be the person described in and who executed the foregoing instrument. Such person duly swore to such

instrument before me and duly acknowledged that he/she executed the same.

Notary Public:

Commission Expires:

(AfxNotaryStamporSeal)

Signature of Attorney:

Print Name:

Firm Name: Tel No.:

Email:

Address of Attorney:

P-1 (03/18)

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signature

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COMBINED CORPORATE VERIFICATION, CONSENT AND DESIGNATION

[For use when a petitioner to be appointed is a bank or trust company]

STATE OF NEW YORK )

COUNTY OF ) ss.:

I, the undersigned, a of

(Title)

(Name of Bank or Trust Company)

acorporationdulyqualiedtoactinaduciarycapacitywithoutfurthersecurity,beingdulyswornsays:

1. VERIFICATION: I have read the foregoing petition subscribed by me and know the contents thereof,

and the same is true of my own knowledge, except as to the matters therein stated to be alleged upon information and

belief, and as to those matters I believe it to be true.

2. CONSENT: I consent to accept the appointment as □ Executor □ Administrator c.t.a □ Trustee under

theLastWillandTestamentofthedecedentdescribedintheforegoingpetitionandconsenttoactassuchduciary.

3. DESIGNATION OF CLERK FOR SERVICE OF PROCESS: I designate the Chief Clerk of the

Surrogate’s Court of County,andhis/hersuccessorinofce,asa

person on whom service of any process issuing from such Surrogate’s Court may be made, in like manner and whenever

oneofitsproperofcerscannotbefoundandservedwithintheStateofNewYorkafterduediligenceused.

_______________________________________

(Name of Bank or Trust Company)

BY____________________________________

(Signature)

______________________________________

(Print Name and Title)

On , 20 , before me personally came

, to me known, who duly swore to the foregoing

instrument and who did say that he/she resides at: and that he/she is a

of the corporation/national banking association described in and which executed such

instrument, and that he/she signed his/her name thereto by order of the Board of Directors of the corporation.

Notary Public:

Commission Expires:

(AfxNotaryStamporSeal)

Signature of Attorney:

Print Name:

Firm Name: Tel No.:

Email:

Address of Attorney:

P-1 (03/18)

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signature

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SURROGATE’S COURT OF THE STATE OF NEW YORK

COUNTY OF

X

PROBATE PROCEEDING, APPLICATION FOR

WILL OF PRELIMINARY LETTERS TESTAMENTARY

(See SCPA 1412)

a/k/a

File #

Deceased.

X

1. The proposed preliminary executor (s) is/are

and is/are designated as executor (s) in the Will

of the above named decedent dated

(together with Codicil (s) dated )anddulyledwiththecourt.

2. The person (s) who would have a right to letters testamentary pursuant to Section 1412.1 is/are:

[Enter “NONE” or specify name and interest]

3. Preliminary letters are requested for the following reasons:

4. Probate is expected to be completed by:

5. A contest □ is □ is not expected.

6. The testamentary assets of decedent’s estate are estimated as follows: [describe and state value;

annex scheduleifspaceisinsufcient]

Personal Property:

Total Personal Property: $

Real Property:

Total Real Property: $

18 months rent, if applicable:

Total of 18 month’s rent: $

7. The liabilities of this estate are:

 8.  Byprovisioninthepropoundedwill,theapplicant(s)[is/are][arenot]requiredtoleabondorother

security for the performance of his/her/their duties.

Your applicant (s) respectfully request the issuance to

of preliminary letters testamentary upon qualifying.

Dated:

(Applicant)

OATH & DESIGNATION OF PRELIMINARY EXECUTOR

STATE OF NEW YORK )

COUNTY OF ) ss.:

I, the undersigned, being duly sworn say:

1. OATH OF PRELIMINARY EXECUTOR: I am over eighteen (18) years of age and a citizen of the United

States; I am an executor named in the Will described in the foregoing petition and will well, faithfully and honestly

discharge the duties of preliminary executor and duly account for all money or property which may come into my hands. I

am not ineligible to receive letters.

2. DESIGNATION OF CLERK FOR SERVICE OF PROCESS: I hereby designate the Clerk of the

Surrogate’s Court of County,andhis/hersuccessorinofce,asa

person on whom service of any process issuing from such Surrogate’s Court may be made, in like manner and with like

effect as if it were served personally upon me whenever I cannot be found and served within the State of New York after

due diligence used.

My domicile is :

(Street Address) (City/Town/Village) (State) (Zip)

(Signature of Petitioner)

(Print Name)

On , 20 , before me personally came

, to me known to be the person described in and

who executed the foregoing instrument. Such person duly swore to such instrument before me and duly acknowledged

that he/she executed the same.

Notary Public:

Commission Expires:

(AfxNotaryStamporSeal)

Signature of Attorney:

Print Name:

Firm Name: Tel No.:

Email:

Address of Attorney:

NOTE: Each Preliminary Executor must complete a combined Oath & Designation of Preliminary Executor.

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signature

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signature

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CONSENT AND DESIGNATION OF CORPORATE PRELIMINARY EXECUTOR

STATE OF NEW YORK )

COUNTY OF ) ss.:

I, the undersigned, a of

(Title)

(Name of Bank or Trust Company)

acorporationdulyqualiedtoactinaduciarycapacitywithoutfurthersecurity,beingdulysworn,says:

1. CONSENT: I consent to accept the appointment as Preliminary Executor under the Last Will and

Testamentofthedecedentdescribedinthisapplicationandconsenttoactassuchduciary.

2. DESIGNATION OF CLERK FOR SERVICE OF PROCESS: I designate the Chief Clerk of the

Surrogate’s Court of County,andhis/hersuccessorinofce,asa

person on whom service of any process issuing from such Surrogate’s Court may be made, in like manner and whenever

oneofitsproperofcerscannotbefoundandservedwithintheStateofNewYorkafterduediligenceused.

(Name of Bank or Trust Company)

BY

(Signature)

(Print Name and Title)

On , 20 , before me personally came

, to me known, who duly swore to the foregoing

instrument and who did say that he/she resides at

and that he/she is a of

the corporation/national banking association described in and which executed such instrument, and that he/she signed

his/her name thereto by order of the Board of Directors of the corporation.

Notary Public:

Commission Expires:

(AfxNotaryStamporSeal)

Signature of Attorney:

Print Name:

Firm Name: Tel No.:

Email:

Address of Attorney:

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signature

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signature

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SURROGATE’S COURT OF THE STATE OF NEW YORK

COUNTY OF

X

PROBATE PROCEEDING, AFFIDAVIT OF ATTESTING WITNESS

WILL OF (After Death)

Pursuant to SCPA 1406

a/k/a

Deceased. File #

X

STATE OF NEW YORK )

COUNTY OF ) ss.:

The undersigned witness, being duly sworn, deposes and says:

(1) I have been shown [check one]

□ the original instrument dated ,

□ acourt-certiedphotographicreproductionoftheoriginalinstrumentdated ,

purporting to be the last Will and Testament/Codicil of the above-named decedent.

(2) On the date indicated in such instrument (under the supervision of an attorney), I saw the decedent

subscribe the same at the place where decedent’s signature appears, and I heard the decedent declare such instrument

to be his/her last Will and Testament/Codicil.

(3) I thereafter signed my name to such instrument as a witness thereto at the request of the decedent,

and I saw the other witness (es) sign

his/her/their names (s) at the end of such instrument as a witness thereto.

(4) At the time the decedent subscribed and executed such instrument, the decedent was to the best of my

knowledge and belief upwards of 18 years of age, and in all respects appeared to be of sound and disposing mind,

memory and understanding, competent to make a will, and not under any restraint.

(5) The decedent could read, write and converse in the English language, and was not suffering from

defects of sight, hearing or speech, or any other physical or mental impairment, which would affect his/her capacity to

make a valid will. The purported instrument was the only copy of said Will/Codicil executed on that occasion, and was not

executed in counterparts.

 (6) Iammakingthisafdavitattherequestof  .

(Witness Signature)

(Print Name)

(Street Address)

(Town/State/Zip)

Sworn before me this

day of , 20

Notary Public:

Commission Expires:

(AfxNotaryStamporSeal)

[Note: Each witness must be shown either the Original Will or a Court-Certied Reproduction thereof. The Notary

Public subscribing to this afdavit may Not be a party or witness to the Will.] P-3 (10/96)

SURROGATE’S COURT OF THE STATE OF NEW YORK

COUNTY OF

X

PROBATE PROCEEDING, WAIVER OF PROCESS:

WILL OF CONSENT TO PROBATE

a/k/a

File #

Deceased.

X

To the Surrogate’s Court, County of

The undersigned, being of full age and sound mind, residing at the address written below and interested in this proceeding

as set forth in paragraph 6a of the petition, hereby waives the issuance and service of citation, in this matter and consents

that the court admit to probate the decedent’s Last Will and Testament dated ,20

(and codicils, if any, dated ), a copy of each of which

testamentary instrument had been received by me, and that

□ Letters Testamentary issue to

□ Letters of Trusteeship issue to

of the following trusts:

Dated Signature

Street Address Relationship

Print Name Town/State/Zip

STATE OF NEW YORK )

COUNTY OF ) ss.:

On , 20 , before me personally appeared

to me known and known to me to be the person described in and who executed the foregoing waiver and consent and

duly acknowledged the execution thereof.

Notary Public:

Commission Expires:

(AfxNotaryStamporSeal)

Signature of Attorney:

Print Name:

Firm Name: Tel No.:

Email:

Address of Attorney: P-4 (10/96)

PROBATE CITATION File No.

SURROGATE’S COURT - COUNTY

CITATION

THE PEOPLE OF THE STATE OF NEW YORK,

By the Grace of God Free and Independent

TO

 Apetitionhavingbeendulyledby , who is domiciled at

YOU ARE HEREBY CITED TO SHOW CAUSE before the Surrogate’s Court, County, at

, New York, on 20

at o’clock in the noon of that day, why a decree should not be made in the

estate of

lately domiciled at

admitting to probate a Will dated _

(a Codicil dated (a Codicil dated

a copy of which is attached, as the Will of

deceased, relating to real and personal property, and directing that

□ Letters Testamentary issue to

□ Letters of Trusteeship issue to

□ Letters of Administration c.t.a. issue to

(State any further relief requested)

Hon.

Dated, Attested and Sealed Surrogate

, 20

Chief Clerk

Attorney for Petitioner Telephone Number

Address of Attorney

[NOTE: This citation is served upon you as required by law. You are not required to appear. If you fail to appear it will be

assumed you do not object to the relief requested. You have a right to have an attorney appear for you.]

P-5 (10/96)

SURROGATE’S COURT OF THE STATE OF NEW YORK

COUNTY OF

X

PROBATE PROCEEDING, NOTICE OF PROBATE

WILL OF (SCPA 1409)

a/k/a

Deceased.

X File #

Notice is hereby given that:

1. The Will dated (and Codicil dated )

(and Codicil dated ) of the above named decedent,

domiciled at

County of , New York, has been/will be offered for probate in the Surrogate’s Court for

the County of .

2. The name (s) of proponent (s) of said Will is/are

whose address(es) is/are

 3.  Thenameandpostofceaddressofeachpersonnamedorreferredtointhepetitionwhohasnotbeen

served or has not appeared, or waived service of process, with a statement whether such person is named or referred to

in the will as legatee, devisee, trustee, guardian or substitute or successor executor, trustee or guardian, and as to any

suchpersonwhoisaninfantoranincompetent,thenameandpostofceaddressofapersonuponwhomserviceof

process may be made on behalf of such infant or incompetent, is as follows:

NAME MAILING ADDRESS NATURE OF INTEREST OR STATUS

(USE ADDITIONAL SHEETS IF NECESSARY)

Date , 20

[Note: Complete Afdavit of Mailing. If serving infant 14 years of age or older, list and mail to infant as well as

parent or guardian.]

Name of Attorney Telephone Number

Address of Attorney P-6 (10/96)

AFFIDAVIT OF MAILING NOTICE OF PROBATE

STATE OF NEW YORK )

COUNTY OF ) ss.:

, residing at

being duly sworn, says that he/she is over the age of 18 years, that on the

day of , 20 ,he/shedepositedinthepostofceboxregularlymaintainedbythe

government of the United States in the of

, State of New York, a copy of the foregoing Notice of Probate contained in a securely closed postpaid

wrapper directed to each of the persons named in said notice at the places set opposite their respective names.

Sworn to before me this

,20 Signature

Notary Public:

Commission Expires:

(AfxNotaryStamporSeal)

Signature of Attorney:

Print Name:

Firm Name: Tel No.:

Email:

Address of Attorney:

SURROGATE’S COURT OF THE STATE OF NEW YORK P-7 (10/96)

COUNTY OF

X Note: File Proof of Service at least 2 days before

PROBATE PROCEEDING, return date. State clearly date, time and place of

WILL OF service and name of person

(Uniform Rule 207.7 ( c) [NYCRR])

a/k/a

AFFIDAVIT OF SERVICE OF CITATION

Deceased.

X File #

STATE OF NEW YORK )

COUNTY OF ) ss.:

of ,

being duly sworn, says that I am over the age of eighteen years; that I made personal service of the citation

herein dated , 20 , and a copy of the Will/Codicil on each person named below, each of whom

deponent knew to be the person mentioned and described in said citation, by delivering to and leaving with each of them

personally a true copy of said citation and Will/Codicil, as follows:

description: sex , color of skin ,

color of hair , approximate age , weight , height , at

o’clock .m. on the day of 20 ,

at

description: sex , color of skin ,

color of hair , approximate age , weight , height , at

o’clock .m. on the day of 20 ,

at

description: sex , color of skin ,

color of hair , approximate age , weight , height , at

o’clock .m. on the day of 20 ,

at

ThatnoneoftheaforesaidpersonsisinthemilitaryserviceasdenedbytheActofCongressknownasthe“Soldiers’and

Sailors’ Civil Relief Act of 1940” and in the New York “Soldiers’ and Sailors’ Civil Relief Act.”

Sworn to before me this

day of ___________________ , 20 ___

Signature

Print Name

Notary Public:

Commission Expires:

(AfxNotaryStamporSeal)

Signature of Attorney:

Print Name:

Firm Name: Tel No.:

Email:

Address of Attorney:

P-7 (10/96)

SURROGATE’S COURT OF THE STATE OF NEW YORK

COUNTY OF

X

PROBATE PROCEEDING, APPLICATION TO DISPENSE WITH

WILL OF TESTIMONY OF ATTESTING WITNESS

(SCPA 1405)

a/k/a

Deceased.

X File No.

STATE OF NEW YORK )

COUNTY OF ) ss.:

, being duly sworn, deposes and says:

The testimony of an attesting witness to the

Will/Codicil of the above-named decedent, dated , , offered for probate, cannot be

obtained because of □ death □ absence □ disability □ inability to locate.

[Explainindetailandaddadditionalafdavitifnecessary]    

Wherefore it is respectfully requested, pursuant to SCPA 1405, that the testimony of said witness be dispensed with.

Sworn to before me this

day of ___________________ , 20 ___

Signature

Print Name

Notary Public:

Commission Expires:

(AfxNotaryStamporSeal)

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signature

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SURROGATE’S COURT OF THE STATE OF NEW YORK

COUNTY OF

X

PROBATE PROCEEDING, ORDER DISPENSING

WILL OF WITH TESTIMONY OF

ATTESTING WITNESS

a/k/a

Deceased.

X File No.

Uponreadingandlingtheforegoingafdavitwhichstateswhytheattestingwitnessthereinnamedisunabletoappearin

this Court, it is

ORDERED that the testimony of ,

as an attesting witness to the instrument offered for probate herein, is hereby dispensed with in this probate proceeding.

Dated , 20

Surrogate

P-8 (10/96)

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signature

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SURROGATE’S COURT OF THE STATE OF NEW YORK

COUNTY OF

X

PROBATE PROCEEDING, AFFIDAVIT PROVING

WILL OF HANDWRITING

a/k/a

Deceased.

X File No.

STATE OF NEW YORK )

COUNTY OF ) ss.:

, being duly sworn, deposes and says:

1. My address is:

2. I was well-acquainted with □ the testator □ an attesting witness to the testator’s Will/Codicil.

3. I am familiar with the manner and style of the testator’s/witness’s handwriting, having often seen him/her write his/

her signature and having seen his/her signature on documents I know to have been signed by him/her.

4. The signature subscribed at the end of the instrument in writing now produced and shown to me, purporting to be

the testator’s Last Will and Testament dated , , is the signature of and is the handwriting of

.

Sworn to before me this

day of ___________________ , 20 ___

Signature

Print Name

Notary Public:

Commission Expires:

(AfxNotaryStamporSeal)

Name of Attorney: Tel No.:

Address of Attorney:

P-9 (10/96)

SURROGATE’S COURT OF THE STATE OF NEW YORK

COUNTY OF

X

PROBATE PROCEEDING, RENUNCIATION OF NOMINATED

WILL OF EXECUTOR and/or TRUSTEE

a/k/a

Deceased.

X File No.

I,

domiciledat(or,inthecaseofabankortrustcompany,itsprincipalofce) ,

nominated as an executor and/or trustee in the (Will) (Codicil) of ,

dated , 20 , late of in the County of New York.

hereby renounce the appointment and all right and claim to letters testamentary and/or letters of trusteeship of and under

the (Will) (Codicil) or to act as executor and/or trustee thereof.

I hereby waive the issuance and service of a citation in the above entitled matter, and consent that the Will dated

(and Codicil dated , 20 ) (and Codicil dated dated , 20 ),

a copy of which has been received by the undersigned, be forthwith admitted to probate. I hereby consent

that Letters

□

Testamentary

□

of Administration c.t.a.

□

of Trusteeship issue to

without the necessity of furnishing a bond. If a bond is furnished, I hereby waive and release all right to make any claim on

the bond in any capacity whatsoever.

(Signature) (Name of Corporation)

 (PrintName)        (NameofOfcer)

Date:

STATE OF NEW YORK )

COUNTY OF ) ss.:

On , 20 , before me personally appeared [INDIVIDUAL]

□

to me known and known to me to be the person described in and who executed the foregoing renunciation and duly

acknowledged the execution thereof. [CORPORATION]

□

_____________________________________________ to me

known, who duly swore to the foregoing instrument and who did say that he/she resides at

and that he/she is a of

the corporation/national banking association described in and which executed such instrument; and that he/she signed

his/her name thereto by order of the Board of Directors of the corporation.

Notary Public:

Commission Expires:

(AfxNotaryStamporSeal)

Name of Attorney: Tel No.:

Address of Attorney:

P-10 (10/96)

SURROGATE’S COURT OF THE STATE OF NEW YORK

COUNTY OF

X

PROBATE PROCEEDING, RENUNCIATION OF LETTERS OF

WILL OF ADMINISTRATION c.t.a. AND

WAIVER OF PROCESS

a/k/a (SCPA 1418)

Deceased.

X File No.

The undersigned, ____________________________________________________________________, a person

interested in this estate, and in all respects eligible to receive letters, hereby personally appears in this proceeding in the

Surrogate’s Court of _____________________________________ County and

1. Renounces all rights to Letters of Administration c.t.a..

2. Waives the issuance and service of citation in the above entitled proceeding and consents that the will

dated , 20 a copy of which has been received by the undersigned, be admitted to probate.

3. Consents that Letters of Administration c.t.a. be granted by the Court to

or any other person or persons entitled thereto without any notice whatsoever to the undersigned.

 4. ConsentstodispensewiththebondoftheAdministratorc.t.a.,andifsuchconsentbeledbysomebutnot

allofthepersonsinterestedintheestate,specicallyreleasesanyclaimbymeunderanybondthatmayberequiredof

such Administrator c.t.a..

Dated Signature

Street Address Relationship

Print Name Town/State/Zip

STATE OF NEW YORK )

COUNTY OF ) ss.:

On , 20 , before me personally appeared

to me known and known to me to be the person described in and who executed the foregoing waiver and consent and

duly acknowledged the execution thereof.

Notary Public:

Commission Expires:

(AfxNotaryStamporSeal)

Name of Attorney: Tel No.:

Address of Attorney:

P-11 (10/96)

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SURROGATE’S COURT OF THE STATE OF NEW YORK

COUNTY OF

X

PROBATE PROCEEDING, AFFIDAVIT OF NO DEBT

WILL OF (For use with Letters of

Administration c.t.a.)

a/k/a

Deceased.

X File No.

STATE OF NEW YORK )

COUNTY OF ) ss.:

, being duly sworn, deposes and says:

that he/she resides at ,

County of , State of ; that he/she is the person seeking

appointment as administrator c.t.a. in the above entitled proceeding; that the value of all personal property receivable by

theduciaryoftheestateoftheabove-nameddecedentplusestimatedgrossrentsreceivablebysaidduciaryfor18

months will not exceed the sum of $ ; that deponent has made a diligent search to ascertain

whether or not there are any debts or claims against the estate of said decedent and that there are no claims, including

unpaid funeral and medical bills, except as follows:

[If “none”, write “NONE”]

NAME AMOUNT $

ADDRESS

NATURE OF CLAIM

NAME AMOUNT $

ADDRESS

NATURE OF CLAIM

NAME AMOUNT $

ADDRESS

NATURE OF CLAIM

Sworn to before me this

day of ___________________ , 20 ___

Signature

Print Name

Notary Public:

Commission Expires:

(AfxNotaryStamporSeal)

Name of Attorney: Tel No.:

Address of Attorney:

P-12 (10/96)

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SURROGATE’S COURT OF THE STATE OF NEW YORK (Note: Attach a copy of the Will/Codicil

COUNTY OF  tothisAfdavitofComparisonexecuted

X by any two persons; if a photocopy

PROBATE PROCEEDING, of the Will is used, only one person

WILL OF   needmaketheafdavit.)

a/k/a AFFIDAVIT OF COMPARISON

Deceased.

X File No.

STATE OF NEW YORK )

COUNTY OF ) ss.:

I/We (and)

being duly sworn, say(s), that (he/she has) (we have) carefully compared the copy of decedent’s Will/Codicil propounded

hereintowhichthisafdavitisannexedwiththeoriginalWilldatedthe day of ,

(and the original Codicil dated the day of , ),abouttobeledforprobate,

and that the same is in all respects a true and correct copy of said original Will/Codicil and of the whole thereof.

Sworn to before me this

day of ___________________ , 20 ___

Signature

Print Name

Notary Public:

Commission Expires:

(AfxNotaryStamporSeal)

Name of Attorney: Tel No.:

Address of Attorney:

P-13 (10/96)

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Fill Online, Printable, Fillable, Blank STATE OF NEW YORK PETITION FOR PROBATE (NYS Unified Court System Division of Technology) Form

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