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Administration Petition PC-1.1 - Rhode Island

Administration Petition Form. This is a Rhode Island form and can be used in Administration And Wills Probate Court Statewide .
 Fillable pdf Last Modified 4/5/2005
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PC-1.1 (11/02, formerly SW-3) Administration Petition Date filed: _____________________ Court use only STATE OF RHODE ISLAND County of ___________________________________ PROBATE COURT OF THE Estate of ____________________________________ _________________________________________________ Alias _______________________________________ Alias _______________________________________ No. ____________________ ____________________ Date ADMINISTRATION PETITION Respectfully represents that: Name of Deceased: ___________________________________________ Personal estate estimated at: $_____________ Name of Deceased Resided in: ________________________________________ Died Intestate: _ _________________________________ City/Town of Residence Date of death Your petitioner: ________________________________________________________________________ ___ Name Relationship to Deceased ________________________________________________________________________ ___ No. Street ________________________________________________________________________ ___ City/Town State Zip Phone Number Respectfully requests that: _______________________________________________ _______________________ ________________________ Name of Nominee Relationship to Deceased Naofm Co-Noe minee (if any) Relationship to Deceased _______________________________________________ _______________________ ________________________ No. Street No. Street _______________________________________________ _______________________ ________________________ City/Town State Zip Phone Numb er City/Town State Zip Phone Number or any other suitable person be appointed to administrate. Deceased left the following surviving spouse and heirs at law: (Indicate any minors or incompetents.) NAME ADDRESS RELATIONSHIP (spouse) Attach form PC9.1, Waiver, if applicable. The undersigned petitioner makes affidavit and says that the above facts are true as to the best of his/her knowledge f. and belie __________________________________________ __________________________________________ Signature of petitioner Date _____________________________________________ Sc. Subscribed and sworn to before me as to the truth of all of the above facts by the petitioner. __________________________________________ __________________________________________ Notary public (please print nam e) Notary public signatur e <<<<<<<<<********>>>>>>>>>>>>> 2PC-1.1 (11/02) Page 2 DECREE Upon hearing, it is hereby ordered and decreed: _______________________________________________ _______________________ ________________________ Name N ame _______________________________________________ _______________________ ________________________ No. S treet N o. S treet _______________________________________________ _______________________ ________________________ City/Town State Zip Phone Number City/Town State Zip Phone Number are hereby appointed to administrate the estate of deceased upon filing bond. Bond fixed at: $_____________________________ [ ] With surety __________________________ [ ] Without surety (if with surety, indicate type) hereby appointed appraiser of the personal estate of deceased. Appointed APPRAISER(s): (if different from above) _______________________________________________ _______________________ ________________________ Name N ame _______________________________________________ _______________________ ________________________ No. S treet N o. S treet _______________________________________________ _______________________ ________________________ City/Town State Zip Phone Number City/Town State Zip Phone Numb er Appointed AGENT(s): _______________________________________________ _______________________ ________________________ Name N ame _______________________________________________ _______________________ ________________________ No. S treet N o. S treet _______________________________________________ _______________________ ________________________ City/Town State Zip Phone Number City/Town State Zip Phone Number Entered as an order and decree of the court on: _______________________________________________ _______________________ ________________________ Date Probate Judge Attorney of record: Advertised Dates (or copy of ad) _______________________________________________ ______________________________________ Name B ar Number _______________________________________________ ______________________________________ No. Street _______________________________________________ ______________________________________ City/Town State Zip Phone Number
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