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Fill and Sign the Surviving Spouse Form 497332481

Fill and Sign the Surviving Spouse Form 497332481

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IN THE ___________ COURT OF ___________ (County), __________ (State) IN THE MATTER OF THE WILL AND ESTATE OF _______________ (Name of Decedent), DECEASED NO. _____,______ Notice of Election by Surviving Spouse To: ____________________ (Name of Executor) , Executor ____________________ (Name of Attorney for Executor) , Attorney You are hereby notified that I ________________ ( Name of Surviving Spouse) , the surviving spouse of _________________ (Name of Decedent) , deceased, who died leaving a Last Will and Testament, dated _______________ (date) , which was duly admitted to probate by this Court on _______________ (date) , do exercise the personal right of election given me pursuant to the provisions of ___________________ (citation of state statute) , and elect to exercise my rights of election to take against the Last will and Testament of _________________ (Name of Testator) , deceased. Witness my signature this the ____ day of ___________, 20_____. _____________________________ (Printed Name of Surviving Spouse) _____________________________ (Signature of Surviving Spouse) Certificate of Service This is to certify that I, __________________ (Name of Attorney) , attorney for _______________________ ( Name of Surviving Spouse) , the Surviving Spouse of ___________________ (Name of Decedent) , deceased, have this date served a true and correct copy of the above and foregoing Notice of Election by Surviving Spouse by U.S. Mail, postage fully prepaid, to the following counsel: ______________________ (Name of Attorney for Executor) _______________________________ (Post Office Box No. or Street Address) ____________________________ (City, State, Zip Code) ____________________ (Name of Executor) ____________________________ (Post Office Box No. or Street Address) ____________________________ (City, State, Zip Code) This the ____day of __________________, 20_____. Respectfully Submitted, ________________________ (Printed Name of Attorney) ________________________ (Signature of Attorney) Attorney for Surviving Spouse State Bar No. ____________ OF COUNSEL: ______________________ (Name of Attorney) _____________________________ (Post Office Box or Street Address) _____________________________ (City, State, Zip Code) Telephone: __________________

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