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Probate

100-00264 Certificate of Service (12/2015) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT DIVISION Unit Docket No. CERTIFICATE OF SERVICE I certify that I have today delivered the following documents to all other parties to this case: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________ ________________________________________ __________________________________ _________________________________________ Th By first class mail by depositing it in the U.S. mail;  By personal delivery to _____________________or his/her counsel;  Other: Explain: ______________________________________________ The names and addresses of the parties/lawyers to whom the mail was addressed or personal delivery was made are as follows: (Attach additional sheets, if necessary) Name Address _______________________________ _____________________________________ _______________________________ _____________________________________ _______________________________ _____________________________________ _______________________________ _____________________________________ _______________________________ _____________________________________ _______________________________ ______ _______________________________ _______________________________ _____________________________________ _______________________________ _____________________________________ _______________________________ _____________________________________ _______________________________ _____________________________________ Dated ______________________________________ _____________________________________ Signature _____________________________________ Print Name _____________________________________ Counsel

Certificate of Service

700-00001 – Petition to Open Decedent’s Estate (04/2020)Page 1 of 2 ☐ ☐ ☐ ☐ STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No. In re ESTATE of: PETITION TO OPEN DECEDENT’S ESTATE was a resident of Decedent Town/State and died on leaving assets to be administered with estimated values of: Real Estate $ Personal Estate $ Total $ Decedent left: no known Last Will and Testament OR Last Will and Testament dated Codicil(s) to the Will, if any, dated Attached are: 1.Entry fee; checks or money orders payable to Vermont Superior Court 2.Certified copy of the death certificate 3.List of Interested Persons (form 700-00002) 4.ORIGINAL Will and any Codicils (if any) 5.For Ancillary (out-of-state) estate, include authenticated copy of Will and probate from decedent’s primary estate. Petitioner requests that the Will, if any, be allowed and an estate be opened and the following named person be appointed to administer the estate: Proposed Executor/Administrator Mailing Address Telephone/Email This is the person named as executor in the Will. A CCEPTANCE OF APPOINTMENT I accept the appointment as Executor/Administrator and ask that the appointment documents be issued to me at the address above. Date Signature of Executor/Administrator 700-00001 – Petition to Open Decedent’s Estate (04/2020) Page 2 of 2 CONSENT OF SURVIVING SPOUSE, IF ANY, AND CONSENT OF ALL HEIRS AT LAW Please note that 14 V.S.A. Section 107(a) provides that if Consents are filed with the Court from all the heirs at law and the surviving spouse, if any, then a Will may be allowed without a hearing. If all consents are not obtained, then the Court shall schedule a hearing and notice shall be given as provided by the Rules of Probate Procedure. We, the surviving spouse, if any, and the heirs at law of the decedent, consent to the Allowance of the Will, if any, the Petition to Open Decedent’s Estate and the appointment of the above as Executor/Administrator. I acknowledge I have been served with the Petition to Open Decedent’s Estate in the above entitled action, including all papers referred to in the Petition. I waive the right to object to any action of the Court, regarding the Petition referred to above, and I waive the requirements for a Hearing regarding such Petition. Signature Print Name Date Petitioner’s signature must be notarized. Date Signature of Petitioner _ Mailing Address Telephone/Email Signed and sworn to before me: Date Signature of Notary Public Expiration Date

Petition to Open Decedent's Estate

700-00001SM – Petition to Open Small Estate (04/2021) Page 1 of 2 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No. In re ESTATE of: PETITION TO OPEN SMALL ESTATE 14 V.S.A. Ch. 81 __________________________________ was a resident of ______________________________________ Decedent Town/State and died on ________________________ leaving personal property valued at $45,000 or less and no real estate. Decedent left: ☐ No known Last Will and Testament OR ☐ Last Will and Testament dated _______________________ ☐ Codicil(s) to the Will, if any, dated ____________________ Attached are: 1. Filing fee; checks or money orders payable to Vermont Superior Court, 2. Original or Certified copy of the death certificate, 3. List of Interested Persons (form 700-00002), 4. ORIGINAL Will and Codicils, if any, 5. Inventory of the estate, including information or estimates available at the time of filing (form 700-00030), 6. Affidavit of paid and outstanding funeral expenses and any other known or reasonably ascertainable debts of the decedent (form 700-00402), 7. Bond without surety in the amount of the fair market value of the estate. Petitioner requests a small estate be opened and the following named person be appointed to administer the estate: _______________________________________________________________________ Proposed Executor/Administrator _______________________________________________________________________ Mailing Address ___________________________________ /___________________________________ Telephone Email ☐ This is the person named as executor in the Will. ACCEPTANCE OF APPOINTMENT I accept the appointment as Executor/Administrator and ask that the appointment documents be issued to me at the address above. _______________________________ ______________________________________________ Date Signature of Executor/Administrator 700-00001SM – Petition to Open Small Estate (04/2021) Page 2 of 2 CONSENT OF SURVIVING SPOUSE, IF ANY, AND CONSENT OF ALL HEIRS AT LAW Please note that 14 V.S.A. Section 107(a) provides that if Consents are filed with the Court from all the heirs at law and the surviving spouse, if any, then a Will may be allowed without a hearing. If all consents are not obtained, then the Court shall schedule a hearing and notice shall be given as provided by the Rules of Probate Procedure. We, the surviving spouse, if any, and the heirs at the law of the decedent, consent to the Allowance of the Will, if any, the Petition to Open Decedent’s Estate and the appointment of the above as Executor/Administrator. I acknowledge I have been served with the Petition to Open Decedent’s Estate in the above entitle action, including all papers referred to in the Petition. I waive the right to object to any action of the Court, regarding the Petition referred to above, and I waived the requirements for a Hearing regarding such Petition. Signature Print Name Date _________________________________ _________________________ _____________________ _________________________________ _________________________ _____________________ _________________________________ _________________________ _____________________ _________________________________ _________________________ _____________________ _________________________________ _________________________ _____________________ _________________________________ _________________________ _____________________ _________________________________ _________________________ _____________________ Petitioner’s signature must be notarized. _______________________________________ ____________________________________________ Date Signature of Petitioner _______________________________________________________________________________________ Mailing Address _____________________________________________ / ________________________________________ Telephone Email Signed and sworn to before me: Date Signature of Notary Public Expiration Date

Petition to Open Small Estate

700-00002E – List of Interested Persons - Estate (03/2017) Page 1 of 2 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re ESTATE of: LIST OF INTERESTED PERSONS Petitioner, being first duly sworn, states that the following is a list of interested persons, as defined in 14 VSA § 311 & 314 1.The surviving spouse. 2.If there is no surviving spouse, or the surviving spouse is not the parent of all the decedent’s children, then the interested persons must include all “heirs at law”. 3.The “heirs at law” include: a.All living children of the decedent; b.All living grandchildren who are children of any deceased children; and c.All living great grandchildren who are children of deceased grandchildren who are children of deceased children, etc. 4.“Children” includes all adopted children; it does not matter if the children have had no contact with the decedent, or if the Last Will and Testament, if any, would disinherit one or more of them. 5.If there are no living “issue” (children, grandchildren, etc), then the “heirs at law” are the living mother and father of the decedent. 6.If there are no issue and no parents, then the “heirs at law” include the living brothers and sisters of the decedent and the living issue of any deceased brothers and sisters. 7.If there are no issue, no parents, and no brothers and sisters of their issue, then the “heirs at law” are the next closest kin in equal degree. 8.All other persons or entities named in the Last Will and Testament, if any. Name Address Interest/Relationship to Decedent Date of Birth (if under 18 years) 700-00002E – List of Interested Persons - Estate (03/2017) Page 2 of 2 Name Address Interest/Relationship to Decedent Date of Birth (if under 18 years) Attach additional sheets if necessary Are any of the children of the decedent listed above, also children (either natural or adopted) of the surviving spouse? ☐ YES ☐ NO If YES, please list names of children of both decedent and surviving spouse below: _____________________________________________ ____________________________________________ _____________________________________________ ____________________________________________ I declare that the list of persons above (with additional sheets, if any, attached) is complete and accurate to the best of my knowledge, information, and belief, after diligent inquiry. _______________________________ ____________________________________________________ Date Signature of Petitioner Signed and sworn to before me: Date Signature of Notary Public Expiration Date

List of Interested Persons for Estates

700-00003 – Notice of Disallowance (03/2017) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No. In re ESTATE of: NOTICE OF DISALLOWANCE To: __________________________________________ Name of Creditor Your Written Statement of Claim dated _________________ is hereby disallowed for the following reason(s): _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ Under 14 V.S.A Section 1206, your claim will be barred unless you file a Petition for Allowance with the Probate Division, or commence a proceeding again the Fiduciary in the Civil Division, no later than 60 days after the mailing of this notice of Disallowance. _______________________________ ______________________________________________ Date Signature of Fiduciary ______________________________________________ Printed Name ______________________________________ ______________________________________________ Mailing Address Telephone/Email Certification I certify that I mailed a copy of this Notice of Disallowance to the Claimant on _________________. _______________________________ ______________________________________________ Date Signature of Fiduciary

Notice of Disallowance

700-00004 - Waiver of Surety on Estate Administration Bond (09/2017) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No. In re ESTATE of: WAIVER OF SURETY ON ESTATE ADMINISTRATION BOND I hereby consent to the waiver of a surety on the bond in connection with the above captioned estate. _____________________________ __________________________________________ Date Signature of Heir at Law __________________________________________ Printed Name Signed and sworn to before me: Date Signature of Notary Expiration Date

Waiver of Surety on Estate Administration Bond

700-00020 – Estate Administration Bond (08/2018) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re ESTATE OF ESTATE ADMINISTRATION BOND The undersigned is/are obligated to the Vermont Superior Court, Probate Division, in the sum of $__________ ☐without surety ☐with __________________________ of ___________________________ as personal surety, (name of surety) (surety’s town of residence) ☐with __________________________ of ___________________________ as corporate surety, to secure the performance of the following duties: 1.Within 60 days of the issuance of letters of administration, file with the Court an Inventory of all assets of the estate; 2.Administer the estate according to the Will and Codicils, if any, and the laws of the State of Vermont; 3.File an accounting with the Court within one year, annually thereafter, and at any other time when required by the Court; 4.Pay all taxes as required; 5.Pay over the balance of the estate according to the Will and Codicils, if any, and otherwise by law; 6.Perform all orders and decrees of the Court; 7.________________________________________________________________________________ When these duties are fully performed, this bond shall no longer be in force. DATE: ___________________ EXECUTOR/ADMINISTRATOR SIGNATURE(S): __________________________________________ __________________________________________ WITNESS PRINT NAME WITNESS PRINT NAME DATE: ________________ SURETY SIGNATURE: ________________________________________________ SURETY NAME MAILING ADDRESS CITY, STATE, ZIP Decedent

Estate Administration Bond

700-00026 – Appointment of Resident Agent (08/2021) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re: ☐ Estate ☐ Guardianship APPOINTMENT OF RESIDENT AGENT I have been appointed as Fiduciary in the above matter, but am not a resident of the State of Vermont. I appoint (Resident Agent Name): __________________________________________________________________ to serve as my agent and accept service of any legal process. Date Fiduciary Si gnature __________________________________________________ Fiduciary Printed Name ACCEPTANCE OF APPOINTMENT AS RESIDENT AGENT I accept the appointment as resident agent. Date Resident Agent Signature __________________________________________________ Resident Agent Printed Name Resident Agent Information: Mailing Address: _______________________________________________ Physical Address: _______________________________________________ Phone: _______________________________________________ Email Address: _______________________________________________

Appointment of Resident Agent

700-00027 – Affidavit of No Assets (07/2018) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re: AFFIDAVIT OF NO ASSETS Petitioner _________________________________________, being duly sworn states as follows: 1. That he/she is the ______________________________ of ___________________________, deceased, late of _____________________________________, Vermont, who died on __________________, and that _______________________________ was nominated to be Executor under the purported Last Will and Testament of the late _______________________________. 2. That the Petitioner is well acquainted with the personal affairs of the late _________________________ and to the best of his / her knowledge and all information available to him / her, that there are no assets to be distributed at the time of death. 3. A certified copy of the death certificate is attached to this petition. Accordingly, I believe the establishment of an estate for ____________________________________ is unnecessary. _______________________________ ______________________________________________ Date Signature of Petitioner ______________________________________ ______________________________________________ Relationship to Decedent Printed Name ______________________________________ ______________________________________________ Mailing Address Telephone/Email Signed and sworn to before me: Date Signature of Notary Expiration Date

Affidavit of No Assets

700-00030 – Inventory (10/2018)Page 1 of 2 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re: Case Type: ☐ Estate☐Trust☐Guardianship INVENTORY INSTRUCTIONS: (PLEASE READ CAREFULLY) List all real and personal estate. Give th e fair market value as of the decedent’s date of death for decedent estates and as of date of fiduciary’s app ointment for all other cases. If you use an appraiser, the name and address of each appraiser and the items appraised must be attached to this inventory. Real estate descriptions must include type of deed, grantor(s) and Grantee(s), date of execution, Book and Page numbers and Town where recorded. Bank accounts should be identified by name of bank, type of account, and account number, and balance. Other investment accounts should be similarly identified. Any liens should be identified by name of lien-holder and approximate amount owed, within the property description. The inventory must be signed and notarized, the original filed with the court and copies to all interested persons and a certificate of service, filed with the Court. Item # Description of Item Fair Market Value Mortgage or Lien Total(s) Page 1 700-00030 – Inventory (10/2018)Page 2 of 2 Item # Description of Item Fair Market Value Mortgage or Lien Total(s) Page 2 I hereby declare that this inventory is complete and accurate to the best of my knowledge and belief. _______________________________ ______________________________________________ Date Signature of Fiduciary ______________________________________________ Printed Name Signed and sworn to before me: Appraisal Information If any of the listed items were appraised, list item #, appraiser’s name and address. Item # Appraiser’s Name Appraiser’s Address Date Signature of Notary Public Expiration Date Total(s) Page 1 Grand Total(s) Pages 1 & 2

Inventory Schedule

700-00033 – Motion to Waive Notice to Creditors (07/2018)Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No. In re ESTATE of: MOTION TO WAIVE NOTICE TO CREDITORS I, _____________________________________, request that the requirement to give notice to creditors be waived. I hereby state under oath: (Choose one of the following) ☐There are no debts against the decedent; OR ☐The debts of the decedent are all known and the estate has funds to pay them; OR ☐The value of the estate does not exceed $2,500.00 and is assigned for the support of the surviving spouse. NOTE: If you waive the Notice to Creditors, Creditors have one (1) year from the date of death to file a claim against the Estate. _______________________________ ______________________________________________ Date Signature of Fiduciary ______________________________________________ Printed Name ______________________________________ ______________________________________________ Mailing Address Telephone/Email Signed and sworn to before me: ORDER WAIVING NOTICE TO CREDITORS Based on the sworn statement of the Fiduciary of the Estate, the motion to waive notice to creditors is GRANTED. _______________________________ ______________________________________________ Date Signature of Judge ______________________________________________ Printed Name Date Signature of Notary Expiration Date

Motion to Waive Notice to Creditors

700-00035 – Motion for License to Sell or Convey Real Estate (07/2018)Page 1 of 2 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re ESTATE OF: Decedent MOTION FOR LICENSE TO SELL or CONVEY REAL ESTATE Part 1 - Request for License I __________________________________ request a license to sell real estate of the decedent’s estate described as follows: Property Description Instructions: List each parcel separately using additional sheets if necessary. For each parcel, include the following information about the deed(s) transferring the property to the decedent. – the book and page number of the deed(s); the town where th e deed is filed in the land records; and the name (s0 of the grantor(s) and grantee(s) on the deed(s). __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ In support of this motion, I state: (check the appropriate box and complete the statement as appropriate.) ☐The decedent was under contract to sell or convey this real estate at the time of death. ☐The proposed sale or conveyance is necessary and/or would be beneficial to the estate because ____________________________________________________________________________________ ___________________________________________________________________________________ ☐The sale or conveyance is authorized and under the provisions of Article __________ of the Will or its codicils, if any, and no surviving spouse, heir or legatee is residing in any dwelling to be sold. _______________________________ ______________________________________________________________ Date Signature of Fiduciary ______________________________________________ Fiduciary’s Printed ______________________________________________ Fiduciary’s Address ______________________________________________ ______________________________________________ Fiduciary’s Phone Number Name of Fiduciary 700-00035 – Motion for License to Sell or Convey Real Estate (07/2018) Page 2 of 2 Part 2 - Oath At _____________________________ on ___________________, _______________________ appeared and made oath that the duties granted by this license shall be discharged faithfully, according to law, and in a manner that would be most beneficial to the estate. Part 3 - Consent of Interested Persons By our signatures, we, the heirs, surviving spouse, beneficiaries, devisees and legatees of the deceased, consent to the granting of this license. We understand that if all these persons do not sign below, a hearing will be scheduled by the court and notice of that hearing will be given to all interested persons. Signature Printed Name Date Town. State Date Name of Fiduciary Date Signature of Register, Judge or Notary Republic Expiration Date

Motion for License to Sell or Convey Real Estate

700-00039 – License to Sell or Convey (11/2019)Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No. In re the Estate of: LICENSE TO SELL OR CONVEY ☐Real Property☐Personal Property T O: ________________________________________________ O n _______________you filed a motion for a license to sell or convey certain property located in the Town of _________________________, County of ____________________, Vermont. Th e property is described as ☐ Real Estate ☐ Personal Property consisting of: (Description of Property for Real Estate - include Land Records information) _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ F indings with respect to notice and hearing: ☐ The m otion was accompanied by t he consent of all interested persons; or ☐ A h earing was held as required by statute and n ot ice of hearing sent to all parties; or ☐ Notice a nd h earing were waived b ecause power was e xpressly conferred by Article _______________ of the Will and no surviving spouse, heir, d evisee or legatee resides in the dwelling to be sold. Findings with respect to the requested transact ion: ☐ The transaction is authorized by Article _______________ of the decedent’s Will. ☐ Decedent w as under contract to convey or sell the property at t he time of death. ☐The t ransaction appears necessary to pay the obligations of t he estate or to preserve pr operty. ☐The t ransaction would aid in di stribution or otherwise benefit the interested persons. ☐ Th e property is the decedent’s homestead, but there is no survivi ng spouse. ☐ The property is the decedent ’s homestead a nd the surviving spouse h as waived his/her rights to the homestead. Therefor e, it is here by ORDERED that the property may be sold or conveyed as requested and you are licensed, authorized and empowered in your fiduciary capacity to complete the transaction as requested, subject to: ☐No Conditions ☐Conditions as described below: _______________________________________________________________ _________________________________________________________________________________________ ☐You shall file a Report on License within 60 days from the date of the sale of any real or personal property. ☐No Report on License is required to be filed. _________________ ______________________________________________ Dated Judge’s Signature ______________________________________________ Printed Name

License To Sell or Convey

700-00040 – License to Mortgage or Lease (11/2018) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No. In re the Estate of: LICENSE TO MORTGAGE OR LEASE ☐ Real Property ☐ Personal Property TO: ________________________________________________ On _______________, you filed a motion for a license to mortgage or lease certain property located in the Town of ____________________, County of ____________________, Vermont. The property is described as ☐ Real Estate ☐ Personal Property consisting of: (Description of Property for Real Estate - include Land Records information) __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Findings with respect to notice and hearing:  The motion was accompanied by the consent of all interested persons; or  A hearing was held as required by statute and notice of hearing sent to all parties; or  Notice and hearing were waived because power was expressly conferred by Article ______________ of the Will. Findings with respect to the requested transaction:  The transaction is authorized by Article ______________ of the decedent’s Will.  Decedent was under contract to mortgage or lease the property at the time of death.  The transaction appears necessary to pay the obligations of the estate or to preserve property.  The transaction would aid in distribution or otherwise benefit the interested persons.  The lease includes decedent’s homestead, but there is no surviving spouse.  The lease includes decedent’s homestead and the surviving spouse has waived his/her right to the homestead. Therefore, it is hereby ORDERED that the property may be mortgaged or leased as requested, and you are licensed, authorized and empowered in your fiduciary capacity to complete the transaction as requested, subject to:  No Terms  Terms as described below: (include amount, term and interest rate of mortgage or term of lease) __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ You shall report the details of the transaction in writing as soon as practicable after the it has been completed, including the date and manner of the transaction, the amount of any proceeds, the person to whom the property was mortgaged or leased, and a description of the property. _________________ ______________________________________________ Dated Judge’s Signature ______________________________________________ Printed Name

License to Mortgage or Lease

700-00047 – Notice of Rights of Surviving Spouse (06/2020) Page 1 of 1 Vermont Superior Court www.vermontjudiciary.org Docket Number: NOTICE OF RIGHTS OF SURVIVING SPOUSE This is notice to a surviving spouse of rights that you may have following the death of your spouse. Some of these rights must be exercised within certain time limits. Four Month Time Window to Elect Against a Decedent's Last Will If the deceased spouse made a Last Will, unless a surviving spouse has waived the right to elect again the deceased spouse's Last Will during the decedent's lifetime, a surviving spouse may reject the provision made for the surviving spouse in the decedent's Will and take instead a ½ share of the decedent's estate. If a surviving spouse has a legal guardian, agent, or attorney-in-fact, the individual who is performing this role may be able to take this action on behalf of the su1viving spouse pursuant to 14 V.S.A. §319(6) and (c). Unless otherwise ordered by the court, a surviving spouse shall file with the court a written election to waive the provisions of a decedent's will within four months of the later of the following dates: (A)the date of service of the notice of rights of surviving spouse; or (B)the date of service of the inventory. U pon the filing of any subsequent or amended inventory or any accounting that reports previously undisclosed property owned by the decedent as of the date of death, the surviving spouse shall have 30 days from the date of service of the filing to elect against the newly reported property, unless otherwise ordered by the court. Surviving Spouse's Interest in Homestead Regardless. of whether the decedent made a Last Will, if a decedent dies leaving a surviving spouse, his or her homestead (up to $125,000) in value shall pass to the surviving spouse pursuant to 27 V.S.A. §105. Surviving Spouse's Right to Request Support During Estate Administration The Probate Court may make reasonable allowance for the necessary expenses of support and maintenance of the surviving spouse and minor children or either, constituting the family of a decedent, out of the personal estate or the income of real or personal estate from date of death until settlement of the estate, but for no longer a period than until their shares in the estate are assigned to them or, in case of an insolvent estate, for not more than eight months after administration is granted. This allowance may take priority, in the discretion_ of the court, over debts of the estate. See 14 V.S.A. §316. This notice does not detail all the conditions under which elections and rights exist. Nor is it intended to encourage you to exercise any elections or rights you may have. You are encouraged to obtain advice from a lawyer regarding any of the elections or rights mentioned above.

Notice of Rights of Surving Spouse

700-00049 – Notice of Elections and/or Waivers by Spouse (06/2020)Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No. In re the Estate of: N OTICE OF ELECTIONS AND/OR WAIVERS BY SURVIVING SPOUSE 1.Estate With Will (Testate) Election to take the share of decedent’s estate specified in 14 V.S.A. §319 instead of the provision made for me in the will: ☐I waive my right to take the share of decedent’s estate specified in 14 V.S.A. §319 instead of the provision made for me in the Will. ☐I elect to take the share of decedent’s estate specified in 14 V.S.A. §319 instead of the provision made for me in the Will. ☐My spouse died without a Will and this election does not apply to me. 2.Homestead Interest pursuant to 27 V.S.A. §105 ☐I waive my right to take my spouse’s interest in the homestead pursuant to 27 V.S.A. §105. ☐I elect to take my spouse’s interest in the homestead pursuant to 27 V.S.A. §105. 3.Household Goods Award of Household goods and furnishings: ☐I waive my right to request that the household goods and furnishings be awarded to me. ☐I request that the household goods and furnishings be awarded to me. I have attached a memorandum describing the goods and furnishings that I am requesting. 4. Support Award of Support for Myself and/or my Minor Children ☐I request that the court award support for   myself and/or   my minor children. ☐I waive my right to request that support be awarded for myself or my minor children. Note: An Affidavit of Income and Expenses must be filed with a request for support. I understand that I cannot revoke any waivers set forth above and I will not be able to change my mind at a later date. I acknowledge that I have been encouraged to seek legal advice regarding these elections and rights. Dated: Signature Printed Name - Surviving Spouse

Notice of Elections and/or Waivers by Surviving Spouse

700-00055 - Report of Fiduciary for Small Estate (05/2018)Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No. In re ESTATE OF: Decedent REPORT OF FIDUCIARY FOR SMALL ESTATE I, ____________________________________, state under oath: ☐I have paid the funeral expenses of the deceased. ☐I have paid all known debts of the deceased and have attached a list of debts paid showing the person paid, the amount paid and the nature of the debts. ☐I have paid the expenses of administration. ☐I have paid over the balance of the estate in accordance with the terms of the Will or in accordance with law if there is no Will. ☐I have attached such receipts as are required by the Court. I request that this report be accepted, that I be discharged as administrator, and that the estate be closed. _______________________________ ______________________________________________________________ Date Signature of Fiduciary ______________________________________________ Fiduciary’s Printed ______________________________________________ Fiduciary’s Address ______________________________________________ ______________________________________________ Fiduciary’s Phone Number Signed and sworn to before me: ORDER DISCHARGING FIDUCIARY AND CLOSING ESTATE Based on the sworn statement of the Fiduciary of the Estate, the report is accepted, the Fiduciary is discharged, and the estate is closed. _______________________________ ______________________________________________________________ Date Signature of Judge ______________________________________________ Judge’s Printed Name Date Signature of Register, Judge or Notary Republic Expiration Date

Report of Fiduciary of Small Estate

700-00057 – Decree of Partial Distribution (04/2021)Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re ESTATE of : Decedent D ECREE OF P ARTIAL DISTRIBUTION ___________________________________________________________ has submitted an interim account and Motion for D ecree of Partial Distribution. Based on the filings of record, it appears that th ere will be sufficient assets after the proposed distribution to pay all remaining o bligations of the estate including debts a nd funeral charges of the decedent, taxes and expenses of administration. THEREFORE, the C ourt DECREES the following property subject to any listed liens, mortgages, and/or other encumbrances: TO HAVE AND TO HOLD the same to him/her/them and his/her/their heirs, successors and assigns forever. The Fiduc iary is ordered to pay over and deliver the property according to this decree. In the e vent the assets remaining in the hands of the fiduciary thereafter are insuffi cient to satisfy t he ultimate expenses and charges against the estate, those persons receiving these distributions shall be liable to repay the fiduciary as provided in 14 V.S.A. §1721(b). Dated: Signed Probate Judge NOTICE: If you are receiving your share of the estate with this distribution, you will no longer be sent notice of future hearings or orders fro m the Probate Court. Name of Fiduciary

Decree of Partial Distribution

700-00152 – Fiduciary’s Closing Report (04/2018)Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re: FIDUCIARY’S CLOSING REPORT I hereby state under oath: 1.This report is filed within one year after the final decree in this proceeding. 2.I have paid and delivered the money and/or other property to the persons entitled to receive it. 3.I have filed a receipt for each payment and delivery or such other proof as required by the Court. I have attached an affidavit explaining the omission if I was unable to obtain the proof required. I hereby swear or affirm that the information in this report is true to the best of my knowledge and belief. Date Signature Printed Name Signed and sworn to before me: _____________________________________________________________________________ ORDER OF APPROVAL AND DISCHARGE The Fiduciary’s report is approved, and the proceeding closed. The Fiduciary is discharged. __________________________ _______________________________________ Dated Judge’s Signature Date Signature of Notary Public Expiration Date _______________________________________ Printed Name

Closing Report & Discharge

700-00153 – Receipt (04/2012)Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re: R ECEIPT I certify that I have received from Name of Fiduciary who is the Fiduciary for this proceeding, the following property and/or cash: I accept this distribution of cash and/or property in: (check appropriate box) Full satisfaction of my interest in the estate. Partial satisfaction of my interest in the estate. Full satisfaction for all assets held for me during my guardianship. Date ______________________ Signature Printed Name Address Address Telephone Number

Receipt

700-00155 - Consent (03/2017) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re: CONSENT I. ACTION OF THE COURT OR A PARTY TO WHICH CONSENT IS GIVEN (To be filled out by person seeking consent) Describe in detail the action for which consent is requested. Attach documents containing any request for action. _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Dated: Signature II.CONSENT I, ___________________________________, an interested party in the above entitled action, consent to the following action to be taken by the Court or a party: _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ as described in more detail above. I understand that based on this consent the Court or the party may take the specified action with no further notice to me and without affording me an opportunity to be heard. Dated: Signature Print Address Telephone

Consent

700-00401 –Affidavit of Administration (12/2020) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re: AFFIDAVIT OF ADMINISTRATION NOW COMES _________________________, Executor/Administrator of the Estate of _________________________, being duly sworn does state to the best of his/hers/their knowledge and belief the following: 1. There are no outstanding expenses of administration, or unpaid or unsatisfied debts, obligations, or claims attributable to the decedent’s estate; and 2. There are no taxes due to the State of Vermont, and a tax clearance has been received from the Vermont Department of Taxes; and 3. This affidavit is being filed not less than six months or more than a year after the date of my appointment as the executor/administrator of the estate; and 4. The administration of the estate has been completed in accordance with the provisions of sections 14 V.S.A. §1851 - §1854 _______________________________ ______________________________________________ Date Signature of Fiduciary ______________________________________________ Printed Name Signed and sworn to before me: Date Signature of Notary Public Expiration Date

Affidavit of Administration

700-00402 –Affidavit of Paid & Outstanding Funeral Expenses & Debts – Small Estates (12/2020) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re: AFFIDAVIT OF PAID AND OUTSTANDING FUNERAL EXPENSES AND DEBTS FOR A SMALL ESTATE The undersigned Fiduciary, being duly sworn, states as follows: 1. The following is a list of paid funeral expenses and debts: __________________________________________ __________________________________________ __________________________________________ 2. The following is a list of known and reasonably ascertainable debts of the Decedent: __________________________________________ __________________________________________ __________________________________________ _______________________________ ______________________________________________ Date Signature of Fiduciary ______________________________________________ Printed Name Signed and sworn to before me: Date Signature of Notary Public Expiration Date

Affidavit of Paid & Outstanding Funeral Expenses and Debts for Small Estate

700-00406A –Petition to Waive Accounting (08/2021) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re: PETITION TO WAIVE ACCOUNTING _________________________, Fiduciary, upon being duly sworn, petitions the Court to waive a formal accounting in this matter. In support of this petition, Executor states as follows: 1. All claims and other obligations of the estate have been satisfied 2. The only remaining asset(s) for distribution are: _______________________________ _______________________________ _______________________________ _______________________________ 3. The proposed distribution is as follows: To __________________________ in the amount of: $ _________________________ To __________________________ in the amount of: $ _________________________ To __________________________ in the amount of: $ _________________________ To __________________________ in the amount of: $ _________________________ 4. A Waiver of Final Accounting and Consent (form 700-00406B) has been filed with this petition by each party. 5. A Tax Clearnce from the Vermont Department of Taxes has been filed with the Court. WHEREFORE, Fiduciary asks the Court to waive the final accounting and to issue a Decree of Distribution in accordance with the proposed distribution outlined in section 3 of this petition. _______________________________ ______________________________________________ Date Signature of Interested Party ______________________________________________ Printed Name Signed and sworn to before me: Date Signature of Notary Republic Expiration Date _______________ _____________________________ __________________

Petition to Waive Accounting

700-00406B –Waiver of Final Accounting & Consent (12/2020)Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re: WAIVER OF FINAL ACCOUNTING AND CONSENT __________________________________________ The undersigned, _________________________, an interested party in this matter, hereby waives formal Final Accounting in this matter and consents to the following Proposed Distribution as requested in the Petition to Waive Accounting filed with this Court: A.The sum of $_______________ to _________________________; B.The sum of $_______________ to _________________________; and C.The sum of $_______________ to _________________________. _ ______________________________ ______________________________________________ Date Signature of Interested Party ______________________________________________ Printed Name

Waiver of Final Accounting and Consent

P_148 – Notice of Appearance (04/2015) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re of : Notice of Appearance To the Register of the Probate Division: ☐ NOTICE FOR ATTORNEY ☐ I hereby enter my appearance for in this proceeding OR ☐ I will appear in this matter for the limited purpose of: ☐ NOTICE FOR SELF REPRESENTED I intend to represent myself in this proceeding and hereby enter my appearance with the Court. No attorney will represent me in this case unless an attorney or I notify the Court otherwise. I understand that it is my responsibility to: 1. Notify the Court in writing if I change my address or phone number; AND 2. Send copies of any papers I file with the Court to the other parties in this case. All court papers may be mailed to me by first class mail at the address listed below. My Street Address My Mailing Address (if different) Name Name Address Address Town/City State Zip Town/City State Zip Phone (Day) Phone (Evening) E-Mail Address ___________________________________ Signature: ____________________________________________ Date Printed Name: _________________________________________ (Name of Party)

Notice of Appearance

Form PE17 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.___________________ In re ESTATE OF Decedent MOTION TO APPOINT SPECIAL ADMINISTRATOR Petitioner requests the Court appoint a special administrator to take charge of this estate for the following reasons: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Petitioner nominates the following named person: Proposed Special Administrator Mailing Address Telephone Number Email City, State, Zip DATE:_______________ PETITIONER SIGNATURE: __________________________________ Petitioner name – IF NOT NOMINATED SPECIAL ADMINISTRATOR Mailing Address City, State, Zip Telephone Number Email

Motion to Appoint Special Administrator

PE25 – Executor’s Refusal of Appointment (02/2015) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re ESTATE OF EXECUTOR’S REFUSAL OF APPOINTMENT The undersigned, having been named in the Last Will and Testament, hereby DECLINES the appointment as Executor. DATE: __________________ SIGNATURE: ________________________________________ NAME MAILING ADDRESS CITY, STATE, ZIP Decedent

Executor’s Refusal of Appointment

PE32 – Notice to Creditors Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re ESTATE of : NOTICE TO CREDITORS To the Creditors of: _____________________________________________________________________, Decedent late of ___________________________________________________________________________. Decedent’s Town of Residence I have been appointed to administer this estate. All creditors having claims against the decedent or the estate must present their claims in writing within four (4) months of the first publication of this notice. The claim must be presented to me at the address listed below with a copy sent to the Court. The claim may be barred forever if it is not presented within the four (4) month period. Dated: Signature of Fiduciary ____________________________________ ________________________________ Executor/Administrator Mailing Address Phone Number Email City, State, Zip Name of Publication: Publication Date: Name of Probate Court: ________________________________________________ Address of Probate Court: ________________________________________________ ________________________________________________

Notice to Creditors

Form PE34 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No._____________________ In re ESTATE OF WRITTEN STATEMENT OF CLAIM DIRECTIONS: In the space below, state your claim against the estate. Your statement must include a description of the claim, the amount claimed and a description of the security for your claim, if any. You must attach documentation of your claim. Description of Claim Amount Owed Security for Claim, if any Documentation Attached? Y/N $ $ Use additional sheets if necessary. You must deliver or mail your claim to the Fiduciary (Administrator or Executor) of the Estate and you must file a copy with the Court. Name of Fiduciary Fiduciary’s Address Name and Address of Court Dated Signature Name Printed Address Phone Number ( ) Email Address Decedent

Written Statement of Claim

PE36 – Motion for License to Mortgage or Lease Real Estate (10/2014) Page 1 of 3 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re ESTATE of : Decedent MOTION FOR LICENSE TO MORTGAGE OR LEASE REAL ESTATE Part 1 Request for License I __________________________________ request a license to ☐ mortgage ☐ lease real estate of the decedent’s estate described as follows: Property Description Instructions: List each parcel separately using additional sheets if necessary. For each parcel, include the following information about the deed(s) transferring the property to the decedent. – the book and page number of the deed(s); the town where the deed is filed in the land records; and the name(s) of the grantor(s) and grantee(s) on the deed(s). _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ In support of this motion, I state: (complete the statement as appropriate.) MORTGAGE 1. It is necessary to mortgage the property because: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 2. The terms of the proposed mortgage are: a. Amount : $_____________________ b. Interest Rate: _________% c: Duration: __________ years __________ months Name of Fiduciary PE36 – Motion for License to Mortgage or Lease Real Estate (10/2014) Page 2 of 3 Signature of Fiduciary Fiduciary’s Name Printed Fiduciary’s Address Fiduciary’s Phone Number LEASE 1. It is necessary to lease the property because: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 2. The terms of the lease is __________ years __________ months 3. The proposed lessee is _________________________________________________________ Dated Part II: Oath At _____________________________ on ___________________, _______________________ appeared and made oath that the duties granted by this license shall be discharged faithfully, according to law, and in a manner that would be most beneficial to the estate. Date Signature of Register, Judge or Notary Public Expiration Date Town. State Date Name of Fiduciary PE36 – Motion for License to Mortgage or Lease Real Estate (10/2014) Page 3 of 3 Part III Consent of Interested Persons By our signatures, we, the heirs, surviving spouse, beneficiaries, devisees and legatees of the deceased, consent to the granting of this license. We understand that if all these persons do not sign below, a hearing will be scheduled by the court and notice of that hearing will be given to all interested persons. Signature Printed Name Date

Motion for License to Mortgage or Lease Real Estate

PE37 – Motion for License to Sell or Convey Personal Property (03/2015) Page 1 of 2 Signature of Fiduciary Fiduciary’s Name Printed Fiduciary’s Address Fiduciary’s Phone Number STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re ESTATE of : Decedent MOTION FOR LICENSE TO SELL OR CONVEY PERSONAL PROPERTY Part I: Request for License I __________________________________ request a license to sell or convey personal property of the decedent’s estate described as follows: Property Description In support of this motion, I state: (check the appropriate box and complete the statement as appropriate.) ☐ The proposed sale or conveyance is necessary or would be beneficial to the estate because: ☐ The decedent was under contract to sell or convey this personal property at the time of death. ☐ The sale or conveyance is authorized unĚĞƌ the provisions of Article _________ of the Will or its codicils, if any. Dated Name of Fiduciary PE37 – Motion for License to Sell or Convey Personal Property (03/2015) Page 2 of 2 Part II: Oath At _____________________________ on ___________________, _______________________ appeared and made oath that the duties granted by this license shall be discharged faithfully, according to law, and in a manner that would be most beneficial to the estate. Date Signature of Register, Judge or Notary Public Expiration Date Part III Consent of Interested Persons By our signatures, we, the heirs, surviving spouse, beneficiaries, devisees and legatees of the deceased, consent to the granting of this license. We understand that if all these persons do not sign below, a hearing will be scheduled by the court and notice of that hearing will be given to all interested persons. Signature Printed Name Date Town. State Date Name of Fiduciary

Motion for License to Sell or Convey Personal Property

Form PE38 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No._____________________ In re ESTATE OF MOTION FOR LICENSE TO MORTGAGE OR LEASE PERSONAL PROPERTY Part I. Request for License I, Name of Administrator/Executor request a license to: check appropriate box below  Mortgage  Lease personal property from decedent’s estate described as follows: Property Description If you need more space, additional sheets for the property list are available. See Form 37A In support of this motion, I state: (complete the statements below as appropriate.) MORTGAGE 1. It is necessary to mortgage the property because: 2. The terms of the mortgage are: a. Amount: $____________________ b. Interest rate: _________% c. Term: ________ months/years LEASE 1. It is necessary to lease the property because: 2. The term of the lease is _______ years months. Dated Signature of Fiduciary Fiduciary’s Name Printed Fiduciary’s Address Fiduciary’s Phone Number ( ) Decedent Part II: Oath Part III Consent of Interested Persons By our signatures, we, the heirs, surviving spouse, beneficiaries, devisees and legatees of the deceased, consent to the granting of this license. We understand that if all these persons do not sign below, a hearing will be scheduled by the court and notice of that hearing will be given to all interested persons. Signature Printed Name Date At Town, State on Date / / Name of Fiduciary appeared and made oath that the duties granted by this license shall be discharged faithfully, according to law and in a manner that would be most beneficial to the estate Date Signature of Register, Judge or Notary Public Expiration Date / /

Motion for License to Mortgage or Lease Personal Property

Form PE43 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No._____________________ Decedent I n re ESTATE OF FIDUCIARY REPORT ON LICENSE   Real Estate   Personal Property I, N ame of Fiduciary to the Court that on report Date cas: , the property desribed below w  Private Sale Sold at  P  ublic Auction  $_______________ Sale Price:  e Conveyed Mortgag  Leased d Property Description (describe only the property that has been sold, conveyed, mortgage or ased): le his transaction was authorized by a License issued n T D ate of License o Dated Signature of Fiduciary Fiduciary’s Name Printed Fiduciary’s Address Fiduciary’s Pho ( ) ne Number

Report on License to Sell, Convey, Mortgage or Lease Real Estate or Personal Property

Form PE45 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.______________________ In re ESTATE OF MOTION FOR EXTENSION OF TIME I request that the Court extend the date for the filing of Insert name of document for days, until Enter new deadline for filing: This extension is needed because: Briefly explain the reason for the extension Dated Signature of Fiduciary Fiduciary’s Name Printed Entry Order  Granted. The date is extended as requested.  Denied.  Scheduled for hearing on: _______________ at _________ am/pm.  Other: Date: Signature of Judge Judge Judge Unit Unit, Probate Division Decedent

Motion for Extension of Time

PE56 – Summary of Account (01/2016) Page 1 of 5 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re ESTATE of : SUMMARY OF ACCOUNT I am the fiduciary of the estate of the above named decedent. I hereby account to the Court for the period beginning and ending Date of Your Appointment as Fiduciary or Date of Last Accounting End Date for This Accounting Period  This is an interim account.  This is a final account. ACCOUNTING WORKSHEET Complete the Schedules in Worksheet A, B and C first. For each schedule (A1-A7, B1-B6 and C1-C2) that you enter an amount greater than 0, you MUST include an itemized accounting on a separate sheet of paper. Once you total the amount for each section, you must then record those totals on the Summary of Account on page 3. You must complete all sections top and bottom. If there is no value, please indicate with a zero. SECTION A – ASSETS and RECEIPTS Schedule Value A-1 Personal estate: (per inventory value or last account) $ A-2 Real estate: (per inventory value or last account) $ A-3 Gain on personal estate sold (attach itemized list) $ A-4 Gain on real estate sold (attach itemized list) $ A-5 Income to estate since inventory last account (attach itemized list) $ A-6 Personal and/or real estate not listed on inventory (attach itemized list) $ A-7 Monies advanced to estate (attach itemized list) $ TOTAL ASSETS AND RECEIPTS Add all lines in Section A $ PE56 – Summary of Account (01/2016) Page 2 of 5 SECTION B – DISBURSEMENTS You must complete all sections top and bottom. If there is no value, please indicate with a zero. List only disbursements since estate opened or last account. Schedule B-1 Funeral and burial expenses (attach itemized list) $ B-2 Loss on personal estate sold (attach itemized list) $ B-3 Loss on real estate sold (attach itemized list) $ B-4 Paid debts (attach itemized list) $ B-5 Distribution(s) to Legatee(s) (attach itemized list) $ B-6 Support for surviving spouse or children (attach itemized list) $ B-7 Administrative expenses (attach itemized list) $ B-8 Attorney fees ( attach itemized statement) $ B-9 Fiduciary fees (attach itemized statement) $ B-10 Other disbursements (attach itemized list) $ TOTAL DISBURSEMENTS Add all lines in Section B $ SECTION C –BALANCE HELD BY FIDUCIARY C-1 Personal Estate: Include values for cash in bank accounts, stocks, bonds, cars, etc. If real estate has been sold, include the net proceeds from the sale. (attach itemized list) $ C-2 Real Estate: Include the value of any real property. If there is no real estate or if all real estate has been sold, enter zero. The proceeds from any real estate that has been sold should be entered on line C-1. (attach itemized list) $ TOTAL BALANCE HELD BY FIDUCIARY Add line C-1 and C-2 $ PE56 – Summary of Account (01/2016) Page 3 of 5 SECTION D –PROPOSED DISTRIBUTION For Final Accounting Only Name of Beneficiary Specific Description of Asset(s) To be Distributed to Beneficiary e.g. If assets are in an account, include name of bank and account number; if assets consist of stocks, provide the name and the number of shares. Description should match the description in the Inventory. Value of Asset(s) to be Distributed $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ TOTAL VALUE DISTRIBUTED $ PE56 – Summary of Account (01/2016) Page 4 of 5 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re ESTATE of : SUMMARY OF ACCOUNT  This is an interim account.  This is a final account. ACCOUNT SUMMARY (totals taken from accounting worksheet(s) Sections A through C) 1. TOTAL ASSETS and RECEIPTS from Section A $ 2. TOTAL DISBURSEMENTS from Section B $ 3. BALANCE HELD BY FIDUCIARY Subtract Line (2) from Line (1) $ REAL ESTATE Value of real estate not sold $ PERSONAL ESTATE Include value of all personal property including cash, stocks, bonds, cars, etc. $ Date Signature of Fiduciary Printed Name Signature of Co-Fiduciary (if any) Printed Name of Co-Fiduciary Subscribed and sworn before me on: date Signature of Notary My commission expires on: STOP: Did you include an itemized list for each schedule where the value you recorded was greater than zero? The itemized lists must be attached to this form when you file it. At the top of each list, please indicate clearly the Section of the Form, the Schedule letter and number (e.g. A-1) and the type of asset, receipt or disbursement (e.g. Section B, Schedule B-3, Paid Debts). PE56 – Summary of Account (01/2016) Page 5 of 5 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re ESTATE of : MOTION TO ALLOW ACCOUNT I/We, request that the court allow the account for the estate as set forth in the attached Summary of Account. I have attached an itemized list for each schedule that has a value greater than zero. Signature of Fiduciary Dated Fiduciary’s Name Printed Signature of Second Fiduciary if applicable Dated Fiduciary’s Name Printed Note: all fiduciaries must sign. ______________________

Summary of Account with Schedules & Motion to Allow Account

PE57m – Motion for Decree of Partial Distribution (09/2014) Page 1 of 2 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re ESTATE of : MOTION FOR DECREE OF PARTIAL DISTRIBUTION Part I. Request for Partial Distribution I, ______________________________________ request that the Court issue a Decree of Partial Distribution described as follows: Property Description Instructions: List property to be distributed and person to whom it should be transferred. Property Description Beneficiary/Devisee/Legatee In support of this motion, I state:  The funeral charges and all known debts of the decedent have been paid.  There are sufficient assets reserved to allow for the maintenance of the family of the deceased and support of the decedent’s children under seven years of age.  The decedent’s spouse’s interest in the real estate and share in the personal estate have been assigned or sufficient assets are reserved for that purpose.  There are sufficient assets reserved to cover anticipated administrative expenses and taxes. PE57m – Motion for Decree of Partial Distribution (09/2014) Page 2 of 2 I understand that in the event the assets remaining in my hands after the requested distribution is made are insufficient to satisfy the ultimate expenses and charges against the estate, those persons having received these distributions shall be liable to repay the estate on a pro rata basis. I further understand that if I cannot collect against a person, the amount not recovered shall be equitably apportioned by the Court among the other persons subject to apportionment. Dated Signature of Fiduciary Fiduciary’s Name Printed Fiduciary’s Address Fiduciary’s Phone Number Part ll. Oath At Town, State on Date Name of Fiduciary appeared and made oath that the statements contained in the foregoing affidavit correctly state the facts based upon the fiduciary’s knowledge, information and belief. Date Signature of Register, Judge or Notary Public Expiration Date

Motion for Decree of Partial Distribution

Form PE58A STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No._____________________ In re ESTATE OF VERIFIED PETITION FOR ISSUANCE OF CERTIFICATE OF PRESUMED DEATH I, Name of Petitioner state that Name of Person : 1. Was a resident of this probate unit; 2. Has been absent for a continuous period of five years; 3. Has not been heard from or, after diligent search, been seen, during this period; and 4. There is no satisfactory explanation for this person’s absence. 5. This person was last seen alive on Date I am related to Name of Decedent in that I am his/her Spouse, child, other near relative To the best of my knowledge, and belief, the following statements are true about this person: Date of Birth / / Birthplace (Town and State) Marital Status Mother/Parent’s Birth Name Father/Parent’s Birth Name Spouse/Civil Union Partner Last Residence Ever in U.S. Armed Forces Veteran of Any War Occupation Business/Industry Education Hispanic Origin Race Sex Therefore, I request the Court to direct the Chief Medical Examiner to complete and sign a certificate of presumed death of this person. Attached are: (1) Entry fee of payable to “Vermont Superior Court” [see instructions] (2) One or more affidavits of diligent search for the person. (3) List of Interested Persons [Probate Form 2] PETITIONER SIGNATURE: Petitioner Signature Date Petitioner name Mailing Address City, State, Zip Telephone Number Email $____________ Decedent Consent of Interested Persons By our signatures below, we, the interested persons in any estate of the absent person who is the subject of this petition, consent to this petition. We understand that, if all the interested persons do not sign below, a hearing may be scheduled by the Court and notice of that hearing will be given to all interested persons by the petitioner or the Court. Signature Printed Name Date Oath At Town, State on Date / / Name of Petitioner appeared and made oath that the foregoing statements are true to the best of the petitioner’s knowledge, information and belief and that, insofar as based on information, the petitioner believes this information to be true. Date Signature of Register, Judge or Notary Public Expiration Date / /

Petition for Issuance of Certificate of Presumed Death

Form PE37A Addendum to Motion for License to Sell or Convey Personal Property n re Estate of: I Docket No. Property Description Description of Any Liens Amount of Lien Fair Market Value of Property

Addendum to Motions related to Personal Property

PE57A – Final Decree of Distribution (06/2018)Page 1 of1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re ESTATE of : Decedent FINAL DECREE OF DISTRIBUTION ☐Real Property☐Personal Property _has submitt ed a final account and Motion f or Name of Fiduciary Decree of Final Distribution. The Court finds that: 1.Due notice has been given to the interested persons pursuant to statute and the rules of probate procedures. 2.Debts and funeral charges of the decedent, taxes and expenses of administration have been paid. Therefore, the Court DECREES that the remaining property be distributed as follows: TO HAVE A ND TO HOLD the same to hi m/her/them and his/her/their heirs, successors and assigns forever. The Fiduciary is ordered to pay over and deliver the property according to this decree. Dated: Signed Probate Judge

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