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IN THE CHANCERY COURT OF THE ______ JUDICIAL DISTRICTOF ________ COUNTY, MISSISSIPPI IN THE MATTER OF THE ESTATE OF ____________________, DECEASED NO. ________ PETITION FOR PROBATE OF WILL AS MUNIMENT OF TITLE ONLY Comes now _________________, an adult resident citizen of the State of Mississippi, and files this, his verified Petition, and would show unto this Honorable Court the following matters and facts, to-wit: I. That on or about the ___ day of ________, 20___, _________________, an adult resident citizen of the ______ Judicial District of ______ County, Mississippi, departed this life, lea ving a Last Will and Testament which was dated ______ ___, 20___, and which was duly witnessed by _________________, _________________, and _________________, all of whom are adults. A true and correct copy of said Last Will and Testament is attached hereto as Exhibit "A," the original of which will be produced at the hearing hereof. II. That at the time of her death, the said _________________, deceased, had a fixed place of residence in the ______ Judicial District of ______ County, Mississippi, and that this Court has full jurisdiction of the estate of the deceased. III. That Petitioner, _________________, was the husband of _________________, and said _________________ survived said _________________. _________________ left all of her property under her Last Will and Testament to _________________. IV. That at the time of the execution of said Will by _________________, she was above the age of twenty-one (21) years, of sound and disposing mind and memory and in all respects capable of making said Last Will and Testament, and that same was properl y executed and witnessed as required by law, and that said will is the authentic Last Will and Testament of _________________; and that the Affidavit of _________________ and _________________, two of the witnesses to the Will, has been duly filed in this cause, affirming t hat said Will was properly executed. V. That all known debts of the decedent and her estate have been paid, and no Federa l or State estate taxes were due from said decedent, _________________, and the value of decedent's personal estate at the time of her death, exclusive of any interest in real estate, did not exceed the sum of _________ Dollars ($______), exclusive of exempt property and property which would pass outside of her probate estate. WHEREFORE, PREMISES CONSIDERED, Petitioner prays that on hearing of this Petition said original Last Will and Testament of _________________, deceased, will be received, approved and admitted to probate by this Honorable Court, as a muniment of tit le only, under the provisions of Section 91-5-35 of the Mississippi. Code of 1972, as amended, the provisions of which are fully applicable to allow said Will to be admitted to probate as muniment of title only to the real estate owned by the decedent at the time of her death. And if Petitioner has prayed for wrong and improper relief, then he prays for such other, further and general relief as he may be entitled to in the premises, and as in duty bound, he will ever pray. Respectfully submitted, _______________________________ _________________ Of Counsel: _____________________________ ___________________________________________________ ________, Mississippi ________ Telephone Number: ___/________ STATE OF MISSISSIPPI COUNTY OF ________Personally appeared before me, the undersigned authority at law in and for the aforesaid jurisdiction, the within-named _________________, who, after having been first duly sworn, stated on oath that the matters and facts set forth in the above and foregoing Petit ion are true and correct as therein stated. _____________________________ _________________ SWORN to and subscribed before me, this the __________ day of ________________, 20___. ____________________________ NOTARY PUBLIC My Commission Expires: ________________________