STATE OF CONNECTICUTAPPLICATION AND DECREE FOR SUPPORT ALLOWANCECOURT OF PROBATEPC-202(BBS) Rev. 5/98Type or print in black ink.APPLICATIONRECORDED:TO: COURT OF PROBATE, DISTRICT OFDISTRICT NO.ESTATE OF:LATE OF, DECEASEDThe petitioner is the surviving spouse of said deceased and respectfully makes application to this court for an allowance$ofper month, as a lump sum out of said estate for support and for the support of the familyof said deceased during the settlement of said estate. SIGNED (Petitioner)DATEThe executor/administrator has no objection to the allowance of the foregoing application. SIGNED (Executor/Administrator)DATECOURT OF PROBATE, DISTRICT OF ESTATE OF:DISTRICT NO.LATE OF, DECEASEDDECREEThe foregoing application having been presented to this court, the court finds that notice should be and is herebydispensed with for cause shown and to grant said allowance is proper.After hearing held, it is ORDERED AND DECREED that the administrator or the executor of said estate pay said$petitioner out of principal the sum ofas follows:$Lump sum ofpayable$per month from date of death for a period of twelve/months, not to exceed, however, the period of settlement.$per month from date of death during the settlement of said estate.Dated at,day of, Connecticut this.JUDGE'S SIGNATUREDATEAPPLICATION AND DECREE FOR SUPPORT ALLOWANCE PC-202 (BBS)2000 (C) American LegalNet, Inc.
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