NY Petition for Probate

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$_______________
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Receipt No: __________ No:_ _________
PETITION FOR PROBATE AND:
[ ] Letters Testamentary
[ ] Letters of Trusteeship
[ ] Letters of Administration c.t.a.
STATE OF NEW YORK
SURROGATE’S COURT: COUNTY OF ____________________
X
PROBATE PROCEEDING,
WILL OF ___________________________________________
a/k/a _______________________________________________
Deceased.
File No._______________________
X
-1-
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 office) and interest in this
proceeding of the petitioner are as follows:
Name:_____________________________________________________________________________________________________
Domicile or Principal Office:____________________________________________________________________________________
(Street and Number)
__________________________________________________________________________________________________________
(City, Village or Town)
(State)
(Zip Code)
Mailing Address:_______________________________________________________________________________
(If different from domicile)
Citizen of:__________________________________________________________________________________________________
Name:_____________________________________________________________________________________________________
Domicile or Principal Office:____________________________________________________________________________________
(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-affiliated attorney or employee thereof.
[NOTE: An attorney-draftsperson, a then-affiliated attorney or employee thereof must comply with SCPA 2307-a]
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)
_______________________________________________________________________
(Date of Codicil)
(Names of All Witnesses to Codicil)
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4.
No other will or codicil of the decedent is on file 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 classified 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 (first cousins).
[Include maternal and paternal]
g._____ [ ]
First cousins once removed (children of predeceased first 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 file 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 beneficiaries 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
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
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(b)
Name and
Relationship
All persons so interested who are persons under disability, are as follows:
[Furnish all information specified in NOTE following 7b]
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 beneficiaries named in the Will and/or trustees and beneficiaries of any inter vivos trust
designated in the propounded Will other than those named in Paragraph 6 herewith are as follows:
Name
Domicile Address and
Mailing Address
Description of Legacy, Devise
or Other Interest, or Nature
of Fiduciary Status
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
(b) All such legatees, devisees and other beneficiaries who are persons under disability are as follows:
[Furnish all information specified in NOTE below]
Name
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 fiduciary 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 confined 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.]
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8. (a) No beneficiary under the propounded will, listed in Paragraph 6 or 7 above, had a confidential relationship
to the decedent, such as attorney, accountant, doctor, or clergyperson, except: [Enter “NONE” or indicate the nature of
the confidential 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 filed 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 ______________________________
____________________________________ f/b/o ______________________________
[ ]
Letters of Administration c.t.a. to ________________________________________________________________
__________________________________________________________________________________________
and that petitioner (s) have such other relief as may be proper.
Dated:____________________________
1. ________________________________________
(Signature of Petitioner)
2. __________________________________________
(Signature of Petitioner)
________________________________________
(Print Name)
__________________________________________
(Print Name)
3. ________________________________________
(Name of Corporate Petitioner)
_________________________________________
(Signature of Officer)
__________________________________________
(Print Name and Title of Officer)
-5-
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 a citizen of the United States 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 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 office, 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:
(Affix Notary Stamp or Seal)
Signature of Attorney:_____________________________________________________________________________
Print Name:_______________________________________________________________________________________
Firm Name:___________________________________________________ Tel No. :____________________________
Address of Attorney:_______________________________________________________________________________
-6-
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 qualified to act in a fiduciary 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 fiduciary.
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 office, 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
officers 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:
(Affix Notary Stamp or Seal)
Signature of Attorney:____________________________________________________________________________
Print Name:_____________________________________________________________________________________
Firm Name: _________________________________________________Tel No. :____________________________
Address of Attorney:________________________________________________________________________________
-7-
-8-
-9-
-10-
-11-
-12-
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STATE OF NEW YORK
SURROGATE’S COURT: COUNTY OF______________
X
PROBATE PROCEEDING,
WILL OF______________________________________
a/k/a
APPLICATION FOR
PRELIMINARY LETTERS TESTAMENTARY
(See SCPA 1412)
______________________________________
File #_________________________
Deceased.
X
-2-
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 filed 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
6.
The testamentary assets of decedent’s estate are estimated as follows: [describe and state value; annex
schedule if space is insufficient]
[ ] is not expected.
Personal Property:___________________________________________________________________________
__________________________________________________________________________________________
Total Personal Property: $_________________
Real Property:______________________________________________________________________________
__________________________________________________________________________________________
Total Real Property: $____________________
18 months rent, if applicable:___________________________________________________________________
__________________________________________________________________________________________
Total of 18 months rent: $_________________
7.
The liabilities of this estate are:_________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
8.
By provision in the propounded will, the applicant(s) [is/are]
for the performance of his/her/their duties.
[are not] required to file a bond or other security
P-2 (10/96)
Your applicant (s) respectfully request the issuance to _______________________________________________
_________________________________________________________________________________________________
of preliminary letters testamentary upon qualifying.
Dated:_____________________________
_____________________________________________
Applicant
_____________________________________________
Applicant
OATH & DESIGNATION OF PRELIMINARY EXECUTOR
STATE OF NEW YORK
)
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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 office, 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:
(Affix Notary Stamp or Seal)
Signature of Attorney:____________________________________________________________________________
Print Name:____________________________________________________________________________________
Firm Name:_________________________________________________ Tel No. :____________________________
Address of Attorney:______________________________________________________________________________
NOTE: Each Preliminary Executor must complete a combined Oath & Designation of Preliminary Executor.
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 qualified to act in a fiduciary capacity without further security, being duly sworn, says:
-4-
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 fiduciary.
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 office, 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 officers 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:
(Affix Notary Stamp or Seal)
Signature of Attorney:______________________________________________________________________________
Print Name:______________________________________________________________________________________
Firm Name:____________________________________________________ Tel No. :____________________________
Address of Attorney:_______________________________________________________________________________
-5-
SURROGATE’S COURT STATE OF NEW YORK
COUNTY OF _______________________
___________________________________________X
PROBATE PROCEEDING
WILL OF ___________________________________
a/k/a
___________________________________
Deceased.
___________________________________________X
AFFIDAVIT OF ATTESTING WITNESS
(After Death)
Pursuant to SCPA 1406
File No. __________________________
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-certified 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 affidavit at the request of _____________________________________________________.
______________________________________
(Witness Signature)
______________________________________
(Print Name)
______________________________________
(Street Address)
______________________________________
(Town/State/Zip)
Sworn before me this ______________
day of _________________, 20_______
_________________________________
Notary Public
Commission Expires:
(Affix Notary Stamp or Seal)
[Note: Each witness must be shown either the Original Will or a Court-Certified Reproduction thereof. The Notary
Public subscribing to this affidavit may Not be a party or witness to the Will.]
P-3 (10/96)
STATE OF NEW YORK
SURROGATE’S COURT: COUNTY OF______________
_____________________________________________X
PROBATE PROCEEDING,
WILL OF _______________________________________
a/k/a __________________________________________
Deceased.
_____________________________________________X
WAIVER OF PROCESS:
CONSENT TO PROBATE
File No. ______________________________
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 if Trusteeship issue to
_______________________________________________________________
of the following trusts:
_______________________________________________________________
_______________________________________________________________
________
Date
___________________________
Signature
___________________________________
Street Address
___________________________
Print Name
___________________________________
Town/State/Zip
___________
Relationship
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:
(Affix Notary Stamp or Seal)
Signature of Attorney: _______________________________________________________________________________
Print Name: _______________________________________________________________________________________
Firm Name: _________________________________________________________ Tel No._______________________
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 filed 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)
________________________________________________________________________________________________
_________________________________________________________________________________________________
Dated, Attested and Sealed
HON. _______________________________________
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)
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STATE OF NEW YORK
SURROGATE’S COURT: COUNTY OF_______________
____________________________________________X
PROBATE PROCEEDING,
WILL OF _______________________________________
NOTICE OF PROBATE
(SCPA 1409)
a/k/a __________________________________________
File No. _____________________________
Deceased.
____________________________________________X
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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 office 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 office 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 Affidavit 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:______________________________________________ Tel. No:_____________________________
Address of Attorney:________________________________________________________________________________
P-6 (10/96)
AFFIDAVIT OF MAILING NOTICE OF PROBATE
STATE OF NEW YORK
)
) ss.:
COUNTY OF _______________________ )
____________________________________, residing at __________________________________________
being duly sworn, says that he/she is over the age of 18 years, that on the ____________________ day of
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_________________, 20______, he/she deposited in the post office 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.
__________________________________
Signature
Sworn to be fore me this ____________
day of ___________________, 20____
__________________________________
Print Name
_______________________________
Notary Public
Commission Expires:
(Affix Notary Stamp or Seal)
Name of Attorney____________________________________________ Tel. No.:______________________
Address of Attorney________________________________________________________________________
-5-
STATE OF NEW YORK
SURROGATE’S COURT: COUNTY OF__________
__________________________________________X
PROBATE PROCEEDING,
WILL OF ____________________________________
a/k/a _______________________________________
Deceased.
__________________________________________X
Note: File Proof of Service at least 2 days
before return date. State clearly date, time
and place of service and name of person
served.
(Uniform Rule 207.7 ( c) [NYCRR])
AFFIDAVIT OF SERVICE
OF CITATION
File No. ____________________________
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 defined 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:
(Affix Notary Stamp or Seal)
Name of Attorney_ _________________________________________ Tel. No.:______________________
Address of Attorney________________________________________________________________________
P-7 (10/96)
SURROGATE’S COURT OF THE STATE OF NEW YORK
COUNTY OF_____________________________
____________________________________________X
PROBATE PROCEEDING,
WILL OF _______________________________________
a/k/a ___________________________________________
Deceased.
____________________________________________ X
Note: File Proof of Service at least 2 days
before return date. State clearly date, time and
place of service and name of person served.
(Uniform Rule 207.7 ( c ) [22 NYCRR])
APPLICATION TO DISPENSE WITH
TESTIMONY OF ATTESTING WITNESS
(SCPA 1405)
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 affidavit 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 ___________
______________________________________
Signature
day of ________________, 20______
_______________________________
Notary Public
Commission Expires:
(Affix Notary Stamp or Seal)
______________________________________
Print Name
SURROGATE’S COURT OF THE STATE OF NEW YORK
COUNTY OF _______________________________
______________________________________________X
PROBATE PROCEEDING,
WILL OF ______________________________________
a/k/a _________________________________________
Deceased.
______________________________________________X
ORDER DISPENSING
WITH TESTIMONY OF
ATTESTING WITNESS
Upon reading and filing the foregoing affidavit 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)
SURROGATE’S COURT OF THE STATE OF NEW YORK
COUNTY OF ______________________________
____________________________________________X
PROBATE PROCEEDING,
WILL OF ______________________________________
a/k/a __________________________________________
Deceased.
____________________________________________X
AFFIDAVIT PROVING
HANDWRITING
File No. _____________________________
STATE OF NEW YORK
)
) ss.:
COUNTY OF _______________________ )
_____________________________________________________________________ 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 _______________________________________________________.
_____________________________
Signature
_____________________________
Print Name
Sworn to before me this __________
day of ________________, 20_____
_____________________________
Notary Public
Commission Expires
(Affix Notary Stamp or Seal)
Name of Attorney ___________________________________________ Tel. No: ___________________
Address of Attorney: ___________________________________________________________________
P-9 (10/96)
STATE OF NEW YORK
SURROGATE’S COURT: COUNTY OF______________
____________________________________________X
PROBATE PROCEEDING,
WILL OF ______________________________________
a/k/a __________________________________________
Deceased.
____________________________________________X
RENUNCIATION OF NOMINATED
EXECUTOR and/or TRUSTEE
File No. _____________________________
I, _________________________________________________________________________domiciled at (or, in
the case of a bank or trust company, its principal office) __________________________________________,nominated as
an executor and/or trustee in the (Will) (Codicil) of ________________________________________________________
dated __________________________________, 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 __________________ ) (and Codicil dated _________________),
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 Officer)
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:
(Affix 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,
WILL OF ________________________________________
RENUNCIATION OF LETTERS OF
ADMINISTRATION c.t.a. AND
WAIVER OF PROCESS
(SCPA 1418)
a/k/a ____________________________________________
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 filed by some but
not all of the persons interested in the estate, specifically releases any claim by me under any bond that
may be required of such Administrator c.t.a..
_________
Date
_____________________________
Signature
_______________________________
Street Address
_____________________________
Print Name
___________________________
Town/State/Zip
__________________
Relationship
STATE OF NEW YORK
COUNTY OF _______________________ ss.:
On ___________________________, 20_______, before me personally came ____________________________
_________________________________________________________________________________________________
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:
(Affix Notary Stamp or Seal)
Name of Attorney____________________________________________ Tel. No.:______________________
Address of Attorney________________________________________________________________________
P-11 (10/96)
SURROGATE’S COURT OF THE STATE OF NEW YORK
COUNTY OF ________________________________
____________________________________________X
PROBATE PROCEEDING,
WILL OF _______________________________________
AFFIDAVIT OF NO DEBT
(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 fiduciary of the estate of the abovenamed decedent plus estimated gross rents receivable by said fiduciary 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
ADDRESS
NATURE OF CLAIM
AMOUNT
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Sworn to before me this ____________
__________________________________
Signature
day of _________________, 20_______
__________________________________
Print Name
________________________________
Notary Public
Commission Expires:
(Affix Notary Stamp or Seal)
Name of Attorney____________________________________________ Tel. No.:______________________
Address of Attorney________________________________________________________________________
P-12 (10/96)
SURROGATE’S COURT OF THE STATE OF NEW YORK
COUNTY OF _________________________________
____________________________________________X
PROBATE PROCEEDING,
WILL OF _______________________________________
(Note: Attach a copy of the Will/Codicil to this
Affidavit of Comparison executed by any two
persons; if a photocopy of the Will is used, only
one person need make the affidavit.)
a/k/a ___________________________________________
Deceased.
____________________________________________X
AFFIDAVIT OF COMPARISON
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 affidavit is annexed with the original Will dated the ___________ day of _________, (and the original
Codicil dated the _______________ day of ________, _________), about to be filed 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____
____________________________________
Notary Public
Commission Expires:
(Affix Notary Stamp or Seal)
__________________________________
Signature
__________________________________
Print Name
__________________________________
Signature
__________________________________
Print Name
Name of Attorney____________________________________________ Tel. No.:______________________
Address of Attorney________________________________________________________________________
P-13 (10/96)