At a Surrogate's Court of the State of New York held in and for the County of ________, at ________ New York on ________, 19________.
P R E S E N T:
ADMINISTRATION PROCEEDING DECREE APPOINTING
Estate of ________ ADMINISTRATOR
________ Deceased. File No. ________
A petition having been filed by ________ praying that administration of the goods, chattels and credits of the above-named decedent by granted to ________; and all persons named in such petition, required to be cited, having been duly cited to show cause why such relief should not be granted or having duly waived the issuance of such citation and consented thereto; and it appearing that ________ is in all respects competent to act as administrator of the estate of said deceased, and a
[ ] bond having been filed and approved in the amount of $________
[ ] bond having been dispensed with and
such representative(s) otherwise having qualified therefor; now, after due deliberation, with no one appearing in opposition thereto, it is
ORDERED AND DECREED that Letters of Administration issue to
ORDERED AND DECREED, that the authority of such representative(s) be restricted in accordance with, and that letters herein issued contain, the limitation, if any, which appears immediately below.