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DATE FILED FOR COURT USE ONLY LAST WILL AND TESTAMENT PC-10.11 (Rev. 07/17) State of Rhode Island and Providence Plantations Probate Court Page 1 of 1 STATE OF RHODE ISLAND County of Estate of Alias PROBATE COURT OF THE City or Town of No. Last Will and Testament of: Date of Filing with Court: Date for Hearing: Notice in following Newspaper: WILL PROVED Name of Probate Clerk Signature of Probate Clerk Date Recorded Book No. Page Number Recorded Will Fee $ PROBATE CLERK SIGN HERE

LAST WILL AND TESTAMENT - Welcome- Rhode Islandsos.ri.gov/.../downloads/documents/PC10.11-last-will-and-testament.pdfDATE FILED FOR COURT USE ONLY LAST WILL AND TESTAMENT PC-10.11

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DATE FILEDFOR

COURT USE ONLY

LAST WILL AND TESTAMENT

PC-10.11 (Rev. 07/17)

State of Rhode Island and Providence PlantationsProbate Court

Page 1 of 1

STATE OF RHODE ISLANDCounty of

Estate of

Alias

PROBATE COURT OF THECity or Town of

No.

Last Will and Testament of:

Date of Filing with Court:

Date for Hearing:

Notice in following Newspaper:

WILL PROVEDName ofProbate Clerk

Signature ofProbate Clerk

Date

Recorded Book No. Page Number

Recorded Will Fee $

PROBATE CLERK SIGN HERE