Fill and Sign the 145 Krs 395 Form

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 lex et justitia COMMONWEALTHOFKENTUCKY COURTOFJUSTICE 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 certifies 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 filled 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, filed herewith, which is his/her Last Will an d 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, res ident 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 fiduciary, 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 filed 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 fixes 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