North Carolina > Statewide > Estate
Application And Assignment Years Allowance E-100 - North Carolina
| Application And Assignment Years Allowance Form. This is a North Carolina form and can be used in Estate Statewide . |
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STATE OF NORTH CAROLINA County IN THE MATTER OF THE ESTATE OF: Name Of Decedent File No. In The General Court Of Justice Superior Court Division Before The Clerk Date Of Death APPLICATION AND ASSIGNMENT YEAR'S ALLOWANCE G.S. 30-15, 30-17, 30-21 Name Of Decedent's Surviving Spouse, If Any I apply for an allowance for a year's support for the person(s) named and state: 1. The decedent died a resident of this county on the date shown above. 2. The surviving spouse, if any, named above is entitled to an allowance from the personal property of the decedent of the value of twenty thousand dollars ($20,000), for a year's support and has not forfeited that right, and the child(ren), if any, named on the reverse side of this Application is/are entitled to an allowance of two thousand dollars ($2,000) for a year's support. 3. I request assignment of the following from the funds or other personal property of the decedent for a year's support of twenty thousand dollars ($20,000). the following from the funds or other personal property of the decedent for a year's support of two thousand dollars ($2,000) for each child(ren) named on the reverse. Name And Address Of Applicant (Type Or Print) Date Spouse Personal Representative Guardian ad Litem Signature Guardian Child/Full Time Student Parent SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Date Signature Of Person Authorized To Administer Oaths Name (Type Or Print) Deputy CSC Notary Assistant CSC Date Commission Expires CSC Magistrate County Where Notarized SEAL ASSIGNMENT OF YEAR'S ALLOWANCE I have examined the above application and have determined the money and other personal property of the decedent. I find that the allegations in the application are true and that each person(s) named in the application is entitled to the allowance requested. I ASSIGN to the applicant the funds or other items of the personal property of the decedent listed below, which I have valued as indicated. This property is assigned free and clear of any lien by judgment or execution against the decedent and is to be paid by the applicant to the person(s) entitled. I assess as a DEFICIENCY the amount, if any, shown below, which is to be paid or delivered to the proper person when any additional personal assets of the decedent are discovered. PERSONAL PROPERTY ASSIGNED VALUE TOTAL DEFICIENCY Date Signature Assistant CSC Original-File Copy-Applicant (Over) Clerk Of Superior Court $ $ Magistrate SEAL AOC-E-100, Rev. 4/11 © 2011 Administrative Office of the Courts American LegalNet, Inc. www.FormsWorkFlow.com CHILD(REN) ENTITLED TO ALLOWANCE NAME AGE RELATIONSHIP ADDRESS CERTIFICATION I hereby certify that the foregoing is a True and Correct copy of the report in the Assignment of Year's Allowance in the matter of the above referenced estate as the same is taken from the original on file and recorded in this office and is sufficient to release the items listed as assigned to the widow/widower, or children of the deceased as provided under G.S. 30-15, 30-21. Date Signature Deputy CSC Assistant CSC Clerk Of Superior Court SEAL AOC-E-100, Side Two, Rev. 4/11 © 2011 Administrative Office of the Courts American LegalNet, Inc. www.FormsWorkFlow.com
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