Connecticut > Statewide > Probate
Request For Order Of Distribution PC-212A - Connecticut
| Request For Order Of Distribution Form. This is a Connecticut form and can be used in Probate Statewide . |
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RECORDED: STATE OF CONNECTICUT REQUEST FOR ORDER OF DISTRIBUTION COURT OF PROBATE PC-212A REV. 7/12 [Use only with Form PC-212 when distribution is necessary.] Page 1 of 2 [Type or print in black ink. File in duplicate. Use Second Sheet, PC-180, for additional data.] TO: COURT OF PROBATE, ESTATE OF [Include all names and initials under which any asset was held.] Hereinafter referred to as the decedent. DECEDENT'S RESIDENCE AT TIME OF DEATH [Include full address.] DISTRICT NO. DATE OF DEATH PETITIONER [Name, address, zip code, and telephone number] RELATIONSHIP TO DECEDENT, if any The amount personal property of said decedent exceeds the listed debts and claims, and petitioner hereby applies for an order of distribution of the excess as follows: The heirs-at-law of said decedent are: [Indicate any person who is under conservatorship, legal disability, or in the military service. C.G.S. §§ 45a-436. 45a-438, 45a-439.] Spouse [Name and address] Children [Include date of birth of any child under age 18.] Children of a deceased child [Include date of birth of any child under age 18.] IF NO children or grandchildren, give name(s) and address(es) of decedent's surviving parents: IF NO spouse, children, grandchildren or parents, give name(s) and address(es) of decedent's brother(s) and sister(s) or children of any deceased brother or sister: IF NONE of the above apply, please refer to C.G.S. § 45a-439(a)(3) and provide a family tree. REQUEST FOR ORDER OF DISTRIBUTION PC-212A American LegalNet, Inc. www.FormsWorkFlow.com RECORDED: STATE OF CONNECTICUT REQUEST FOR ORDER COURT OF PROBATE OF DISTRIBUTION [Use only with Form PC-212 when distribution is necessary.] PC-212A REV. 7/12 [Type or print in black ink. File in duplicate. Use Second Sheet, PC-180, for additional data.] Page 2 of 2 One or more of the children of the decedent listed above or on Second Sheet, PC-180, is/are not also the children of the surviving spouse. The decedent left no will, and the petitioner requests an order of distribution to said heirs-at-law in accordance with the laws of intestacy. that provides for distribution equivalent to that under the laws of intestacy, and the petitioner, therefore, requests an order of distribution under the laws of intestacy. [If this box is checked, skip Sections A and B below.] ,and the distribution thereunder is different from that under the laws of intestacy, The decedent left a will dated AND [If this box is checked, report the persons entitled to distribution under the will and choose either Section A or B below.] The persons entitled to distribution under the will are:[Give names, addresses, and zip codes.] The decedent left a will dated Section A. Distribution in Accordance with the Will. The heirs-at-law listed above have signed below a written waiver of their right to contest said will, and the petitioner requests an order of distribution stating that the excess may be paid to the proposed persons listed above entitled to distribution of the will in accordance with the terms of the will. The undersigned, being all of the heirs-at-law of the decedent, hereby waive their right to contest the will. .............................................................................. .............................................................................. .............................................................................. .............................................................................. .............................................................................. .............................................................................. Section B. Distribution in Accordance with the Laws of Intestacy. The persons listed above entitled to distribution under the will have signed below a written consent to distribution in accordance with the laws of intestacy, and the petitioner requests an order of distribution under the laws of intestacy. The undersigned, being beneficiaries under the will of the decedent, hereby consent to distribution in accordance with the laws of intestate succession. .............................................................................. .............................................................................. .............................................................................. .............................................................................. .............................................................................. .............................................................................. The undersigned payor(s) of the claims listed on form PC-212 waive reimbursement. .............................................................................. .............................................................................. .............................................................................. WHEREFORE, the undersigned petitions the court to issue an order of distribution of the excess personal property of the decedent to the heirs-at-law and/or persons entitled to distribution under the will listed above. The representations contained herein are made under the penalties of false statement. Date: REQUEST FOR ORDER OF DISTRIBUTION PC-212A ................................................................................... Petitioner: American LegalNet, Inc. www.FormsWorkFlow.com
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