Missouri > Local Circuit Courts > 7th Circuit (Clay County) > Probate > Adults
Notice Of Death Of Protectee And Application That No Letters Of Administration Be Granted And To Close Estate 365-A - Missouri
| Notice Of Death Of Protectee And Application That No Letters Of Administration Be Granted And To Close Estate Form. This is a Missouri form and can be used in Adults Probate 7th Circuit (Clay County) Local Circuit Courts . |
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CIRCUIT COURT OF CLAY COUNTY, MISSOURI PROBATE DIVISION No. Matter of , disabled and now deceased. NOTICE OF DEATH OF PROTECTEE APPLICATION THAT NO LETTERS OF ADMINISTRATION BE GRANTED AND TO CLOSE THE ESTATE (Sec. 475.320 RSMo.) The undersigned as Conservator of the Estate of Protectee, _______, who was disabled and is now deceased, states to the Court that: 1. Said Protectee died INTESTATE on . 2. First publication of notice of grant of Letters of Conservatorship was on . 3. Said Protectee left no debts for which the estate would be liable, other than funeral and burial expenses, taxes, obligations of the Protectee incurred by the Conservator and expenses of administration; 4. The domicile of the Protectee was . 5. The probable value of the Protectees estate is Real Property $ and, Personal Property $ .. 6. Applicant___ believe___ there are *no heirs whose names and addresses are unknown to the Applicant___; 7.That the names, relationships to the decedent and resident addresses of the surviving spouse and heirs, with an indication of those believed by the Applicant___ to be of unsound mind, and the birth dates of those who are minors and, so far as is known to the Applicant___, the names and addresses of the Conservators of those who are minors or disabled are as follows: NAME RELATIONSHIP BIRTH DATE RESIDENCE (Include all Guardians/Conservators) (Thru Whom) (If Under 18) (Complete Address) *Strike if inapplicable Form 365-A Page 1 of 2 Revised 3/14/2003 <<<<<<<<<********>>>>>>>>>>>>> 2 WHEREFORE, Applicant ___ request ___ that no Letters of Administration be granted on the above estate and that the Conservator ___ be permitted to pay costs, taxes, and claims as permitted in Section 475.320 RSMo., and thereafter make distribution in the manner provided by law. THE STATEMENTS AND REPRESENTATIONS IN THIS DOCUMENT ARE MADE UNDER OATH AND ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THEY ARE MADE SUBJECT TO THE PENALTIES OF MAKING A FALSE AFFIDAVIT OR DECLARATION. Date Applicant Address Phone Attorney Register # Address Phone Form 365-A Page 2 of 2 Revised 3/14/2003
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