DATE FILED FOR COURT USE ONLY LAST WILL AND TESTAMENT PC-10.11 (Rev. 07/17) State of Rhode Island and Providence Plantations Probate Court Page 1 of 1 STATE OF RHODE ISLAND County of Estate of Alias PROBATE COURT OF THE City or Town of No. Last Will and Testament of: Date of Filing with Court: Date for Hearing: Notice in following Newspaper: WILL PROVED Name of Probate Clerk Signature of Probate Clerk Date Recorded Book No. Page Number Recorded Will Fee $ PROBATE CLERK SIGN HERE