Waiver Of Full Administration Affidavit {NHJB-2144-P}

THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) Estate of WAIVER OF FULL ADMINISTRATION AFFIDAVIT I, was appointed fiduciary of the above estate on , and under oath depose and say as follows: 1. 2. 3. To the best of my knowledge and belief, there are no outstanding debts or obligations attributable to the deceased's estate. I certify that six months have passed since my date of appointment (specified above) and that no interested person has petitioned for full administration of this estate. I certify that the following is all the real estate owned by the deceased at the time of his/her death, and that it has passed to LOCATION OF REAL ESTATE COUNTY REGISTRY OF DEEDS BOOK/PAGE / / 4. If real estate is listed in #3 above, I certify that I have notified either the assessor of the city of or the selectmen of the town of as required by RSA 554:18-a, by providing them with a copy of this form. Date Telephone Number Surviving Spouse or Child Signature Mailing Address State of This instrument was acknowledged before me on My Commission Expires Affix Seal, if any , County of by Signature of Notarial Officer / Title ORDER This affidavit is approved. Date Judge NHJB-2144-P (10/01/2006) (formerly AOC-215-003) Page 1 of 1 American LegalNet, Inc. www.FormsWorkflow.com