Missouri > Local Circuit Courts > 7th Circuit (Clay County) > Probate > Deceased
Application For Letters Testamentary Of Administration With Will Annexed 519-D - Missouri
| Application For Letters Testamentary Of Administration With Will Annexed Form. This is a Missouri form and can be used in Deceased Probate 7th Circuit (Clay County) Local Circuit Courts . |
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CIRCUIT COURT OF CLAY COUNTY, MISSOURI PROBATE DIVISION No. Matter of , deceased. (First Middle Last Name) APPLICATION FOR LETTERS *TESTAMENTARY *OF ADMINISTRATION WITH WILL ANNEXED I, , state to the Court: ; That the deceased, whose last residence address was , and whose domicile was died testate on ; birth date ; age years and sex **male **female. The probable value of the deceased's estate is: Real Property $ and, Personal Property . That the names, relationships to the decedent, and resident addresses of the surviving spouse, heirs, devisees, legatees and lineal descendants of devisees who were relatives of and predeceased the testator, with an indication of those believed by the applicant(s) to be of unsound mind and the birth dates of those who are minors and, so far as is known to the applicant(s), the names and addresses of the Guardians/Conservators of those who are minors or incapacitated/disabled are as follows: NAME Include Spouse, Children, Parents, Lineal Descendants, Guardians/Conservators, Trustees RELATIONSHIP (thru whom) **Surviving Spouse **Trustee BIRTH DATE (if under 18) RESIDENCE (Complete Address) HEIRS AT LAW WHO ARE NOT BENEFICIARIES UNDER THE WILL That the applicant(s) believe(s) there are no heirs whose names and addresses are unknown to applicant(s), except as stated above. All beneficiaries survived the deceased by more that 120 hours, except as stated above; *PLEASE STATE IF NONE: Form 519-D Revised 11/19/2012 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com That if Letters are issued, applicant(s) will make a complete inventory of the estate, pay all debts, if any, as far as the assets will extend and the law directs, account for and pay out or distribute all assets which come into applicant's possession and, perform all things required by law concerning the administration and that application is made for **Supervised **Independent Administration. Wherefore, applicant(s) request(s) that Letters of Testamentary be granted on the above named decedent's estate. 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. Applicant Address Applicant Address Phone No. Phone No. Attorney for estate: REQUIRES A SIGNATURE Register No, Phone No. Address RENUNCIATION OF RIGHT TO ADMINISTER We, the undersigned entitled to administer the estate of , deceased, hereby renounce our right to administer the estate of said deceased, also, consent to **Supervised **Independent administration and request that Letters of Administration be issued to , whose address is/are . SIGNATURE RELATIONSHIP RESIDENCE NOTE: Personal Representative must file an amended application if he learns that this one is incomplete or incorrect. ** strike if inapplicable Form 519-D Revised 11/19/2012 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com
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