PETITION FOR LETTERS OF ADMINISTRATION

CONNECTICUT PROBATE COURT
DISTRICT OF [PROBATE DISTRICT]

TABLE OF CONTENTS

1. Caption and Case Information
2. Petitioner Information
3. Decedent Information
4. Basis for Jurisdiction
5. Heirs at Law
6. Grounds for Administration
7. Prayer for Relief
8. Verification
9. Certificate of Service

1. CAPTION AND CASE INFORMATION

IN THE MATTER OF THE ESTATE OF:

[DECEDENT FULL LEGAL NAME], Deceased.

Docket No.: [____________________________________]

2. PETITIONER INFORMATION

Name: [PETITIONER FULL LEGAL NAME]
Address: [STREET ADDRESS], [CITY], Connecticut [ZIP CODE]
Relationship to Decedent: [RELATIONSHIP]
Telephone: [________________________________]

3. DECEDENT INFORMATION

4. BASIS FOR JURISDICTION

a. The Decedent was domiciled in the Probate District of [PROBATE DISTRICT], Connecticut at the time of death, establishing jurisdiction per C.G.S. § 45a-303(a).

b. The Decedent died on [__/__/____].

c. The Decedent died intestate (without a valid Last Will and Testament).

d. ☐ After diligent search and inquiry, Petitioner is unaware of any will or codicil of the Decedent.

e. ☐ No prior petition for probate or administration has been filed.

5. HEIRS AT LAW

The heirs at law under Connecticut intestate succession (C.G.S. § 45a-437 et seq.):

6. GROUNDS FOR ADMINISTRATION

a. The Decedent died possessed of property in Connecticut requiring administration.

b. Estimated value of the estate:

c. Petitioner has priority under C.G.S. § 45a-303(d) as [STATE PRIORITY BASIS].

d. Petitioner is suitable and qualified to serve as Administrator.

e. Bond:
☐ Petitioner will furnish bond as required by C.G.S. § 45a-139
☐ Petitioner requests reduction or waiver of bond

7. PRAYER FOR RELIEF

WHEREFORE, Petitioner respectfully requests:

a. A hearing be scheduled on this Petition with notice as required by C.G.S. § 45a-303(c);

b. The Court determine that the Decedent died intestate;

c. The Court determine the heirs at law;

d. Petitioner be appointed Administrator and Letters of Administration be issued;

e. Bond be fixed in an appropriate amount;

f. Such other relief as the Court deems proper.

8. VERIFICATION

STATE OF CONNECTICUT
PROBATE DISTRICT OF [DISTRICT]

I, [PETITIONER FULL LEGAL NAME], being duly sworn, state that the information in this Petition is true and accurate to the best of my knowledge and belief.

Petitioner Signature: ______________________________________

Printed Name: [PETITIONER FULL LEGAL NAME]

Date: [__/__/____]

Subscribed and sworn to before me this [____] day of [____________], [________].

Commissioner of the Superior Court / Notary Public: ______________________________________
My Commission Expires: [__/__/____]

9. CERTIFICATE OF SERVICE

I certify that on [__/__/____], a true copy of this Petition was served on all interested persons:

☐ Personal Service
☐ Certified Mail, Return Receipt Requested
☐ First Class U.S. Mail
☐ Publication (as ordered by the Court)

Signature: ______________________________________
Printed Name: [PETITIONER / ATTORNEY NAME]
Connecticut Juris No.: [________________] (if applicable)
Address: [________________________________]
Telephone: [________________________________]
Email: [________________________________]

ATTACHMENTS CHECKLIST:

☐ Probate Court Form PC-200 (Petition/Administration)
☐ Certified copy of Death Certificate
☐ Administrator's Bond (C.G.S. § 45a-139)
☐ Written consents / waivers (if applicable)
☐ List of assets and estimated values
☐ Court cost deposit (C.G.S. § 45a-107)
☐ Filing fee payment