requests that
be appointed
c.
d. (1)
(2)
(3)
Form Adopted for Mandatory Use
Judicial Council of California
DE-111 [Rev. July 1, 2017]
PETITION FOR PROBATE
(Probate—Decedents Estates)
Probate Code, §§ 8002, 10450;
www.courts.ca.gov
Page 1 of 4
3.
(1)
(2)
(3)
(4)
1.
2.
a.
b.
a.
b.
and Letters issue upon qualification.
(2)
(1)
a.
c.
Publication will be in (specify name of newspaper):
Publication requested.
Publication to be arranged.
Petitioner (name each):
decedent's will and codicils, if any, be admitted to probate.
(name):
executor
administrator with will annexed
administrator
special administrator with general powers
full limited authority
bond not be required for the reasons stated in item 3e.
bond be fixed. The bond will be furnished by an admitted surety insurer or as otherwise
provided by law. (Specify reasons in Attachment 2 if the amount is different from the maximum required by Prob.
Code, § 8482.)
$
in deposits in a blocked account be allowed. Receipts will be filed. $
(Specify institution and location):
Decedent died on (date): at (place):
a resident of the county named above.
a nonresident of California and left an estate in the county named above located at
(specify location permitting
publication in the newspaper named in item 1):
Street address, city, and county of decedent's residence at time of death (specify):
be granted to administer under the Independent Administration of Estates Act.
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
FOR COURT USE ONLY
DE-111
ATTORNEY OR PARTY WITHOUT ATTORNEY:
STATE: ZIP CODE:CITY:
STREET ADDRESS:
FIRM NAME:
NAME:
STATE BAR NO.:
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
ESTATE OF (name):
DECEDENT
CASE NUMBER:
PETITION FOR
Probate of
Probate of
Letters of Administration
Letters of Special Administration with general powers
Authorization to Administer Under the Independent
Administration of Estates Act
with limited authority
Lost Will and for Letters Testamentary
Lost Will and for Letters of Administration
with Will Annexed
HEARING DATE AND TIME:
DEPT.:
b.
Decedent was a citizen of a country other than the United States (specify country):
.
(specify for each):
Appointment of personal representative (check all applicable boxes):
Appointment of administrator:
g.
Appointment of executor or administrator with will annexed:(1)
(2)
e. (1)
f.
Character and estimated value of the property of the estate (complete in all cases):
d.
Personal property:
Annual gross income from
(a) real property:
(b) personal property:
Subtotal (add (1) and (2)):
(1)
(2)
(3)
(a)
(b)
(c)
(a)
(b)
(c)
(d)
(2)
3.
Total (add (3) and (6)):
(5)
(3)
(4)
Gross fair market value of real property:
(4)
Net value of real property:
(Less) Encumbrances: )
$
$
(
(7)
(3)
(1)
(2)
Proposed personal representative is a
h.
(1)
(2)
(3)
(4)
$
$
$
$
$
$
Will waives bond. Special administrator is the named executor, and the will waives bond.
All beneficiaries are adults and have waived bond, and the will does not require a bond. (Affix waiver as Attachment
3e(2).)
All heirs at law are adults and have waived bond. (Affix waiver as Attachment 3e(3).)
Sole personal representative is a corporate fiduciary or an exempt government agency.
Decedent died intestate.
Copy of decedent's will
dated: codicil dated
The will and all codicils are self-proving (Prob. Code, § 8220).
Proposed executor is named as executor in the will and consents to act.
No executor is named in the will.
Proposed personal representative is a nominee of a person entitled to Letters.
(Affix nomination as Attachment 3g(1)(c).)
Other named executors will not act because of death declination
other reasons
(specify):
Continued in Attachment 3g(1)(d).
Petitioner is a person entitled to Letters. (If necessary, explain priority in Attachment 3g(2)(a).)
Petitioner is a nominee of a person entitled to Letters. (Affix nomination as Attachment 3g(2)(b).)
Petitioner is related to the decedent as
(specify):
Appointment of special administrator requested. (Specify grounds and requested powers in Attachment 3g(3).)
resident of California.
nonresident of California
(specify permanent address):
resident of the United States.
Proposed personal representative would be a successor personal representative.
(4)
(3) The original of the will and/or codicil identified above has been lost.
(Affix a copy of the lost will or codicil or a written
statement of the testamentary words or their substance in Attachment 3f(3), and state reasons in that attachment
why the presumption in Prob. Code, § 6124 does not apply.)
are affixed as Attachment 3f(2). (Include typed copies of handwritten documents and English translations of foreign-
language documents.)
nonresident of the United States.
CASE NUMBER:
ESTATE OF (name):
DECEDENT
DE-111
DE-111 [Rev. July 1, 2017]
PETITION FOR PROBATE
(Probate—Decedents Estates)
Page 2 of 4
(6)
Decedent survived by a stepchild or foster child or children who would have been adopted by
decedent but for a legal barrier. (See Prob. Code, § 6454.)
(Complete only if no spouse or issue survived decedent.)
(1)
(Complete if decedent was survived by (1) a spouse or registered domestic partner but no issue (only a or b apply), or (2) no
spouse, registered domestic partner, or issue. (Check the first box that applies):
6.
h.
Decedent was survived by (check items (1) or (2), and (3) or (4), and (5) or (6), and (7) or (8))
(5)
4.
(a)
(b)
(a)
(b)
7.
5.
(3)
(4)
(1)
(2)
(6)
(7)
(8)
b.
a.
b.
c.
d.
e.
f.
g.
(2)
(3)
a.
b.
(a)
(b)
(c)
(d)
(e)
Listed on the next page are the names, relationships to decedent, ages, and addresses, so far as known to or reasonably
ascertainable by petitioner, of (1) all persons mentioned in decedent's will or any codicil, whether living or deceased; (2) all persons
named or checked in items 2, 5, 6, and 7; and (3) all beneficiaries of a trust named in decedent's will or any codicil in which the
trustee and personal representative are the same person.
Decedent's will does not preclude administration of this estate under the Independent Administration of Estates Act.
spouse.
no spouse as follows:
divorced or never married.
spouse deceased.
registered domestic partner.
no registered domestic partner. (See Fam. Code, § 297.5(c); Prob. Code, §§ 37(b), 6401(c), and 6402.)
child as follows:
natural or adopted.
natural adopted by a third party.
no child.
issue of a predeceased child.
no issue of a predeceased child.
was was not
Decedent was survived by a parent or parents who are listed in item 8.
Decedent was survived by issue of deceased parents, all of whom are listed in item 8.
Decedent was survived by a grandparent or grandparents who are listed in item 8.
Decedent was survived by issue of grandparents, all of whom are listed in item 8.
Decedent was survived by issue of a predeceased spouse, all of whom are listed in item 8.
Decedent was survived by next of kin, all of whom are listed in item 8.
Decedent was survived by parents of a predeceased spouse or issue of those parents, if both are predeceased, all of
whom are listed in item 8.
Decedent was survived by no known next of kin.
Decedent had no predeceased spouse.
Decedent had a predeceased spouse who
died not more than 15 years before decedent and who owned an interest in real property that passed to decedent,
died not more than five years before decedent and who owned personal property valued at $10,000 or more that
passed to decedent, (If you checked (1) or (2), check only the first box that applies):
Decedent was survived by issue of a predeceased spouse, all of whom are listed in item 8.
Decedent was survived by a parent or parents of the predeceased spouse who are listed in item 8.
Decedent was survived by issue of a parent of the predeceased spouse, all of whom are listed in item 8.
Decedent was survived by next of kin of the decedent, all of whom are listed in item 8.
Decedent was survived by next of kin of the predeceased spouse, all of whom are listed in item 8.
neither (1) nor (2) apply.
CASE NUMBER:
ESTATE OF (name):
DECEDENT
DE-111
DE-111 [Rev. July 1, 2017]
PETITION FOR PROBATE
(Probate—Decedents Estates)
Page 3 of 4
a.
8.
9.
* (Signatures of all petitioners are also required. All petitioners must sign, but the petition may be verified by any one of them (Prob. Code, §§ 1020, 1021; Cal. Rules of Court, rule 7.103).)
Name and relationship to decedent
Age Address
8.
(SIGNATURE OF ATTORNEY ) *
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
(SIGNATURE OF PETITIONER)
(SIGNATURE OF PETITIONER)
Continued on Attachment 8.
Number of pages attached:
Date:
(TYPE OR PRINT NAME OF ATTORNEY )
(TYPE OR PRINT NAME OF PETITIONER)
Signatures of additional petitioners follow last attachment.
CASE NUMBER:
ESTATE OF (name):
DECEDENT
DE-111
DE-111 [Rev. July 1, 2017]
PETITION FOR PROBATE
(Probate—Decedents Estates
Page 4 of 4
Date:
(TYPE OR PRINT NAME OF PETITIONER)
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