S
C
D
C
UPERIOR
OURT OF THE
ISTRICT OF
OLUMBIA
PROBATE DIVISION
_________ WIL _________
(Link to: _________________)
In re Estate of
________________________________
Deceased
CERTIFICATE OF FILING WILL
I, _______________________________, on this_______day of____________________,
20____, hereby submit for filing the following paper-writing(s) purporting to be the Last Will
and Testament and/or Codicil(s) of ____________________________________________
_________________________________________________________________
(insert all name(s) of decedent as reflected in the will(s) and/or codicil(s))
who died on or about the _______day of ___________________,20_____, domiciled in the
District of Columbia.
Date of document(s): __________________________________________________
Unusual attributes (if any): _____________________________________________
Name of nominated personal representative: _______________________________
Address of nominated personal representative (if known): _____________________
___________________________________________________________________
The same (was) (were) received from___________________________________________.
Case No: _____ADM/SEB______ is open or is being opened.
No estate is open.
Name: _________________________________
(signature)
Address:________________________________
_________________________________
Telephone Number: ______________________
FOR OFFICE USE ONLY
Reviewed by_________________________
(signature)
Comments: _________________________
___________________________________
_________________________________
October 2010 – 109.10.v1