STATE OF NEW YORK
SURROGATE’S COURT: COUNTY OF __________________
___________________________________________________X
In the Matter of the Petition for Successor Letters Testamentary
in the Estate of
NOTICE OF PETITION FOR
APPOINTMENT OF
SUCCESSOR EXECUTOR
a/k/a
File No. _____________________________
Deceased.
___________________________________________________X
Notice is hereby given that:
1. The Will of the above-named decedent was admitted to probate by the Surrogate’s Court of _____________________
County on ___________________________, and Letters Testamentary were issued to ______________________________,
who on _______________________, [ ] died [ ] other (specify)________________________________.
2. The name (s) of the Successor Executor (s) of said Will is/are _____________________________________________
___________________________________________________________________________________________, whose
address(es) is/are _________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
3. The names and address of all persons and parties who are named in the will as fiduciaries or beneficiaries who have
not appeared or have been served or waived service of process.
NAME MAILING ADDRESS NATURE OF INTEREST
OR STATUS
[Note: If serving infant 14 years of age or older, list and mail to infant as well as parent or guardian.]
(USE ADDITIONAL SHEETS IF NECESSARY)
Date: ___________________________, 20______
[Note: Notice of Petition for Appointment of Successor Executor may or may not be required in all
counties. If Notice is required, complete Affidavit of Mailing.]
Name of Attorney:______________________________________________ Tel. No.:_____________________________
Address of Attorney:_________________________________________________________________________________
SLT-4 (04/2011)
-1-
AFFIDAVIT OF MAILING
NOTICE OF PETITION FOR APPOINTMENT OF SUCCESSOR EXECUTOR
STATE OF NEW YORK )
) ss.:
COUNTY OF )
____________________________________, residing at __________________________________________, being duly
sworn, says that he/she is over the age of 18 years, that on the ____________________ day of _________________,
20______, he/she deposited in a post office box regularly maintained by the government of the United States in the
_____________of ___________________________, State of New York, a copy of the foregoing Notice of Petition for
Appointment of Successor Executor contained in a securely closed postpaid wrapper directed to each of the persons named
in said Notice at the places set opposite their respective names.
__________________________________
Sworn to before me this ____________ Signature
day of ___________________, 20____ __________________________________
Print Name
________________________________
Notary Public
Commission Expires:
(Affix Notary Stamp or Seal)
Name of Attorney____________________________________________ Tel. No.:_______________________________
Address of Attorney_________________________________________________________________________________
-2-
SUCCESSOR LETTERS TESTAMENTARY File No. ___________________
SURROGATE’S COURT - _____________________ COUNTY
CITATION
THE PEOPLE OF THE STATE OF NEW YORK,
By the Grace of God Free and Independent
TO:
A petition having been filed by _____________________________________________________________, who is
domiciled at ________________________________________________________________________________________,
YOU ARE HEREBY CITED TO SHOW CAUSE before the Surrogate’s Court, _______________________ County,
at _______________________________, New York, on _________________________ 20______, at ________ o’clock in
the ___________ noon of that day, why a decree should not be made in the estate of _________________________________
lately domiciled at __________________________________________________________________________, directing that
[ ] Successor Letters Testamentary issue to _______________________________________________________.
HON. ____________________________________________
Dated, Attested and Sealed, Surrogate
__________________________, _______ _____________________________________________
(Seal) Chief Clerk
_________________________________________________________________________________________________
Attorney for Petitioner Telephone Number
_________________________________________________________________________________________________
Address of Attorney
[NOTE: This citation is served upon you as required by law. You are not required to appear. If you fail to appear it will be assumed you do not
object to the relief requested. You have a right to have an attorney appear for you.]
SLT-5 (04/2011)
