SPECIAL APPEARANCE STATE OF CONNECTICUT OF SERVICEMEMBER COURT OF PROBATE PC-188 NEW 7/13 [Type or print in ink.]

TO: COURT OF PROBATE, DISTRICT NO.

IN THE ESTATE OF/IN THE MATTER OF

PETITION FOR

The undersigned represents that: 1. I am a party having an interest in the above estate/matter.2. I reside at the following address:

My mailing address (if different) is:

3. □ I am in active military service under 10 U.S.C. 101(d)(1) as a member of the Army, Navy, Air Force, Marine Corps or theCoast Guard, or

□ I am in the National Guard and have been called to active duty for over 30 days under 32 U.S.C. 502(f).4. □ I am entering a special appearance in the above matter because I am able to receive notice of hearings in a timely fashion

at the above mailing address.

□ Due to active military service, I am not able to receive notice of hearings in a timely fashion. I understand that an

attorney will be appointed to represent me in this matter. 5.

I □ waive □ do not waive any and all notice of hearings on the above-referenced petition.

Date: Servicemember

[Type or print name.]

SPECIAL APPEARANCE OF SERVICEMEMBER PC-188