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Application For Informal Administration: State of Wisconsin, Circuit Court, County

This document is an application for informal administration of an estate in Wisconsin circuit court. It provides details about the deceased, including name, date of birth, date of death, and domicile. It also names an applicant for administration and indicates whether there is a will or nomination of a personal representative. Finally, it lists interested persons in the estate and requests that letters of administration be issued.

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Afzal Imam
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60 views

Application For Informal Administration: State of Wisconsin, Circuit Court, County

This document is an application for informal administration of an estate in Wisconsin circuit court. It provides details about the deceased, including name, date of birth, date of death, and domicile. It also names an applicant for administration and indicates whether there is a will or nomination of a personal representative. Finally, it lists interested persons in the estate and requests that letters of administration be issued.

Uploaded by

Afzal Imam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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STATE OF WISCONSIN, CIRCUIT COURT, COUNTY

IN THE MATTER OF THE ESTATE OF Amended

Application for
Name
Informal Administration
Case No.

UNDER OATH, I STATE:


1. The decedent, with date of birth and date of death , was domiciled in
County, State of , with a mailing address of .

2. I am interested as .

3. Other proceedings concerning the estate of the decedent are are not pending in this state or
elsewhere. Explain: .

4. The estimated net value of decedent's property requiring administration is $ .

5. The decedent
did did not receive Medical Assistance/Medicaid.
did did not receive Family Care and/or Partnership benefits (through a Managed Care Organization – MCO/CMO).
did did not receive benefits from the Community Options Program (COP).
did did not receive benefits from Wisconsin Chronic Disease Program.
was was not a patient or inmate of a state or county hospital or institution, or responsible for any person owing an
obligation to the state or county.
Explain:
I lack information to complete this section.

6. If the decedent was ever married, complete the following: (If more than one spouse See attached.)
Name of spouse ( living or deceased) .
Married to decedent Divorced from decedent at time of decedent’s death.
The spouse did did not receive benefits from the Community Options Program (COP).
The spouse did did not receive benefits from the Wisconsin Chronic Disease Program.
I lack information to complete this section.

(Complete question 7 OR 8 below, whichever is applicable.)

7. The decedent died leaving a will, dated .


codicil(s) (If any), dated .

I believe these documents were executed properly and are valid. I made diligent inquiry and am unaware of
any revocation by decedent.

The original will, including any codicil(s),


is in the possession of the court.
accompanies this application.
was probated elsewhere and an authenticated copy accompanies this application.
is en route to the court by mail or personal delivery (for eFilers only).

The personal representative(s) named by the decedent in the will and/or any codicil is:
Name(s)
I nominate to serve as personal representative(s).

The trustee(s) named by the decedent in the will and/or codicil is:
Name(s)
I nominate to serve as trustee(s).

PR-1801, 05/20 Application for Informal Administration §§851.21, 856.09, 865.06 and 879.01, Wisconsin Statutes
This form shall not be modified. It may be supplemented with additional material.
Page 1 of 2
8. I made diligent inquiry and am unaware of any unrevoked will of the decedent and believe that the decedent
died leaving no will.
I nominate to serve as personal representative(s).

9. The names and mailing addresses of all interested persons are:


(For any person with disabilities, also list any guardian of estate; for any person in the military, also list attorney or attorney in fact; and for
any minor, list date of birth.) See attached
Relationship Mailing Address If Minor,
Name [Street, City, State, Zip]
[e.g. Heir, Beneficiary, Fiduciary] Date of Birth

10. Other:

I REQUEST:

1. A statement of informal administration be issued.

2. The will, including any codicil(s), be admitted to informal administration.

3. Domiciliary letters be issued to

4. Letters of trust be issued to


for the following trust:

Letters of trust be issued to


for the following trust:

5. Other:

State of ►
County of Applicant

Subscribed and sworn to before me on


Name Printed or Typed
Notary Public/Court Official
Address
Name Printed or Typed

My commission/term expires: Email Address Telephone Number

This notarial act involved the use of communication technology.


Date State Bar No. (if any)

Form completed by: (Name)

Address

Email Address

Telephone Number State Bar Number (if any)

PR-1801, 05/20 Application for Informal Administration §§851.21, 856.09, 865.06 and 879.01, Wisconsin Statutes
This form shall not be modified. It may be supplemented with additional material.
Page 2 of 2

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