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Petition/Ancillary Probate of Will (Rev. 7/13) Page 2
Petition/Ancillary Probate of Will (Rev. 7/13)
PETITION/ANCILLARY
PROBATE
OF WILL
PC-201 REV. 7/13 Page 2
STATE OF CONNECTICUT
COURT OF PROBATE
[Type or print in ink.]
RECORDED:
2. BENE
FICIARIES UNDER THE WILL, including trustees [Give name(s) and address(es) and paragraph in Will where interest in
the estate may arise and date of birth of any child under age 18. It is not necessary to list the address if it is already listed above.]
3. BENEF
ICIARIES OF TESTAMENTARY TRUST(S) ESTABLISHED UNDER THE WILL [Give name(s) and address(es) of
each current beneficiary and presumptive remainder beneficiary and paragraph in
Will
where the interest in the trust arises and
date of birth of any child under age 18. It is not necessary to list the address if it is already listed above. Probate Court Rules of
Procedure sections 1.1(9) and 1.1 (27)]
4. DECEDENT'S CONSERVATOR(S) [Give name(s) and address(es).]
__________________________________________________________________________________________________________
The petitioner states that the following efforts have been made to identify or locate any person whose name and/or address is
unknown:
__________________________________________________________________________________________________
THE PETITIONER REPRESENTS that:
No other petition for ancillary probate has been filed in the State of Connecticut.
Decedent, or spouse or children of the decedent, did did not ever receive aid or care from the State of Connecticut.
[If affirmative, check appropriate box(es).]
State of Connecticut (D.A.S)
Department of Veterans' Affairs. C.G.S. section 45a-355.
THE PETITIONER HEREWITH PRESENTS to the court the duly authenticated and exemplified copy of the Last Will and
Testament and codicils, if any, of the decedent dated *and the record of the proceedings proving and
establishing the same by a court o
f competent jurisdiction and REPRESENTS that the time for taking an appeal therefrom
has
has not
expired, and no appeals are presently pending. Attached hereto is a complete statement of the property
and estate of the decedent in Connecticut. C.G.S. section 45a-288.
WHEREFORE, THE PETITIONER REQUESTS this court to order that said copies be filed and recorded and that
letters ancillary testamentary be issued to the fiduciary named below.
The representations contained herein are made under the penalties of false statement.
Date:
Petitioner
[Type or print name here.]
PETITION/ANCILLARY PROBATE OF WILL PC-201
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