SUPERIOR COURT OF THE DISTRICT OF COLUMBIA
PROBATE DIVISION
In re: ___________________________, adult ward (now deceased)
INTV Case. No. ______________ PETITION FOR RELEASE OF FUNDS HELD IN THE ESTATE DEPOSIT ACCOUNT (PRO SE)
1. 2.
This is the petition of ________________________________. I am the personal who representative was the adult ward of in
___________________________
this case prior to passing away. my letters of administration. 3. Funds belonging to the were estate,
Attached is a copy of
in
the
amount the
of
$_________________, deposit account. 4. I respectfully
deposited
into
estate
request
that
this
Court
allow
me
to
withdraw said funds from the estate deposit account, upon the showing of proper identification. I understand that
the funds will be mailed to me by the Court Finance Office thereafter. ____________________________________ SIGNATURE OF PERSONAL REPRESENTATIVE ____________________________________ address ____________________________________ ____________________________________ phone number
VERIFICATION I hereby swear and the and affirm that I have true read to the foregoing of my
petition
facts
herein
are
the
best
knowledge, information and belief.
____________________________________ SIGNATURE OF PERSONAL REPRESENTATIVE
CERTIFICATE OF SERVICE
I hereby certify that on this _______ day of ________________, I have mailed copies of the foregoing petition, postage prepaid, by first class mail, to the following interested persons: (list name and address of all interested persons)
______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________
_____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________
_____________________________ SIGNATURE
SUPERIOR COURT OF THE DISTRICT OF COLUMBIA
PROBATE DIVISION
In re:
___________________________, adult ward (now deceased)
INTV Case. No. ______________
ORDER GRANTING RELEASE OF FUNDS HELD IN THE ESTATE DEPOSIT ACCOUNT (IN INTERVENTION CASES)
Upon consideration of the Petition For Release of Funds Held in the Estate Deposit Account filed on
__________________________, by _________________________; and it appearing to the Court that ____________________ is the personal representative of the now deceased ward and is entitled to
receipt of said funds; it is by the Court this ________ day of _____________________, hereby ORDERED, that the petition is GRANTED. __________________
may obtain funds in the amount of $____________________ from the Court's Estate Deposit Account upon the showing be mailed of proper the
identification.
Thereafter,
funds
will
from
Court's Finance Office. ____________________ JUDGE
cc:
attached list (list name and address of all interested persons on a separate sheet of paper)