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AOC-830 Doc. Code: PDA & ODA Rev. 1-05 Case No. Page 1 …

AOC-830 Doc. Code: PDA & ODA. Rev. 1-05 Case Page 1 of 2. PETITION/ORDER TO DISPENSE District/Probate Court_____. Commonwealth of Kentucky Court of Justice WITH ADMINISTRATION. (Surviving Spouse/ County_____. KRS ; ; Children/Preferred Creditor). IN RE: Estate of _____. (Name of Decedent). Address:_____. _____. _____. Date of Death: _____ Social Security Number: _____. Date of Birth: _____. PETITION. Comes the Petitioner, being first duly sworn, and states as follows: 1. Decedent died [ ] testate [ ] intestate with residence at the above listed address and on the above date.

Rev. 5-04 Page 2 of 2 Because the exemption given to the above surviving spouse/child(ren) and/or claim(s) of the above preferred creditor/assignee equals or exceeds the value of the above estate asset(s), I ask this Court to dispense with the administration of the above est ate

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