Free Certificate of Filing Will - District of Columbia

SUPERIOR COURT OF THE DISTRICT OF COLUMBIA
PROBATE DIVISION

CERTIFICATION 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: [state the date of the document and describe any unusual
attributes of the document relating to whether or not it is a copy]

and the same (was) (were) received from____________________________________ ______________________________________________________________________.

Name __________________________________ (signature) Address_________________________________ _________________________________

Telephone Number_________________

FOR OFFICE USE ONLY Reviewed by_________________________ (signature) Comments: _________________________ ____________________________________ ____________________________________
___________________________________________ ___________________________________________