IN THE PROBATE DIVISION, CIRCUIT COURT, ST. LOUIS COUNTY, MISSOURI
In the matter of
_____________________________________________________________
No. _________________
Decedent
APPLICATION FOR PROBATE OF WILL
The undersigned states that _________________________________________________, who resided at
___________________________________________________________________, died on _________________
Street Address
City
State
Zip Code
and was domiciled in St. Louis County at the time of death.
That decedent left an instrument purporting to be
his
her Last Will and Testament dated _____________,
and Codicil to said Last Will and Testament dated __________________.
The decedent’s will
is
is not self proving per 474.337 RSMo. If self proving, undersigned asks that it be
admitted as self proving.
At death decedent was
single
married
widowed – spouse date of death ___________
divorced.
_________________________
The surviving spouse is ________________________________ who resides at
___________________________________________________________________________________.
If instrument(s) is not self proving, the subscribing witnesses to said instrument(s) are: ________________
____________________________________________________________________________________________.
WHEREFORE, your applicant prays the court consider said instrument(s) in writing to be duly proved,
admitted to probate, certified and recorded as the last will and testament of the decedent.
The foregoing is made on this ______ day of _____________, ______, under oath or affirmation and its
representations are true and correct to the best of applicant’s knowledge and belief subject to the penalties of
making a false affidavit or declaration.
______________________________________________
______________________________________
Attorney’s Signature
Applicant’s Signature
______________________________________________
_______________________________________
Attorney’s Name (Typed)
Applicant’s Name (Typed)
______________________________________________
_______________________________________
Street Address
Street Address
______________________________________________
_______________________________________
City
State
Zip Code
City
State
Zip Code
_______________________ _______________________
______________________________________
Telephone No.
Bar No.
Telephone No.
__________________________________________________________
E-Mail Address
Rev. 09/2013
For Court’s Use Only:
KADPW – App. Probate Will (with Ptn Ltrs)
KPAWS – App. Probate Will (only)
SELFP – Req Admit Will as Self Proving