SUPERIOR COURT OF THE DISTRICT OF COLUMBIA 500 INDIANA AVE., N.W. WASHINGTON, D.C. PROBATE DIVISION 202-879-4800 COPY REQUEST FORM For Office Use Received by: ____________________ ________
Print Full Name Date Date
Completed on: ___________________________ Mailed out or picked up on: _________________
Date
Today's Date: ____________________ Case Name: _______________________________________________
Decedent, Minor or Ward
Case No: _____________ PLEASE FURNISH: ____ ____ ____ ____ ____ ____ NUMBER OF PAGES:
Plain copy(ies) ____ @ $ .50 per page Triple Seal(s) ____ @ $25.00 plus ___ pages @.50 per page Certified copy(ies) ____ @$5.00 plus ____ pages @.50 per page Preliminary Certificate ____ @ $1.00 each Final Certificate ____ @ $10.00 each Additional Letters of ____ @$1.00 per page Administration, Guardianship, Conservatorship TOTAL COST: $ _____________________
PAYMENT BY CHECK SHOULD BE PAYABLE TO "REGISTER OF WILLS" MAIL TO Name: _______________________ Address: _____________________ _____________________ Telephone No: _______________ OR WILL PICK UP Name: ____________________________ Telephone No: ______________________