Assent For Proof Of Will In Common Form {NHJB-2864-P}

THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) ASSENT FOR PROOF OF WILL IN COMMON FORM The undersigned, being persons interested in the Will of , assent to the proving of the will in common form without the need for a witness to appear in court and request that the will be allowed. Check off the applicable box that applies to each person signing. Surviving Spouse Legatees/Devisees Heirs at Law Charity Named in Will Director of Charitable Trusts (only if charitable interest is unnamed) DATE PRINT NAME BELOW LINE WRITE SIGNATURE ON LINE ADDRESS NHJB-2864-P (01/02/2014) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com