North Carolina > Statewide > Estate
Application For Letters Of Administration E-202 - North Carolina
| Application For Letters Of Administration Form. This is a North Carolina form and can be used in Estate Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
File No. STATE OF NORTH CAROLINA In The General Court Of Justice Superior Court Division County Before The Clerk IN THE MATTER OF THE ESTATE OF: Name And Address Of Decedent APPLICATION FOR LETTERS OF ADMINISTRATION Social Security No. County Of Domicile At Time Of Death G.S. 28A-6-1; 28A-12-4; 105-22Date Of Death Place Of Death (If Different From County Of Domicile)Name And Mailing Address Of Applicant Name And Mailing Address Of Co-Applicant Telephone No. Telephone No.Legal Residence (County, State) Legal Residence (County, State) Name And Mailing Address Of Attorney Attorney Bar No. Telephone No. I, the undersigned, applying for letters of administration in the above estate, being first duly sworn, say that: 1. The decedent was domiciled in this county at the time of the decedents death, or left property or assets in this county, or was a nonresident motorist who died in North Carolina; no other proceeding for probate or for administration is pending in any jurisdiction. 2. a. I am the person entitled to apply for letters or am applying after all persons having prior right to apply have renounced. b. I am applying subject to G.S. 28A-6-2(1) and move that all necessary citations be issued. c. I am the public administrator appointed by the Court. 3. I am not disqualified pursuant to G.S. 28A-4-2 to administer the estate and have not renounced my right to do so. 4. After diligent inquiry, I have determined that the persons listed below are all the persons entitled to share in the decedents estate. (If there is a court-appointed guardian for any such person(s), list the guardians name and address on an attachment.) NAME AGE RELATIONSHIP MAILING ADDRESS AOC-E-202, Rev. 5/98 Original - File Copy - Applicant Copy - Revenue 1998 Administrative Office of the Courts (Preliminary Inventory On Reverse) <<<<<<<<<********>>>>>>>>>>>>> 2 PRELIMINARY INVENTORY (Give values as of date of decedents death. Continue on separate attachment if necessary.) PART I. PROPERTY OF THE ESTATE 1. Accounts in sole name of decedent (List bank, etc., each account no. and balance.) Est. Market Value $ 2. Joint accounts without right of survivorship (List bank, etc., each account no., balance and joint owners.) % Owned By % Owned By % Owned By % Owned By 3. Stocks and bonds in sole name of decedent or jointly owned without right of survivorship............................................... % Owned By 4. Cash and undeposited checks on hand.................................................................... 5. Household furnishings........................................................................................... 6. Farm products, livestock, equipment and tools ........................................................ 7. Vehicles.............................................................................................................. 8. Interest in partnership or sole proprietor businesses.................................................. 9. Insurance, Retirement Plan, I.R.A., etc., payable to Estate......................................... 10. Notes, judgments, and other debts due decedent..................................................... 11. Miscellaneous personal property............................................................................. 12. Estimated annual income of Estate ........................................................................ (Base bond on this amount, if applicable.) TOTAL PART I. $ PART II. PROPERTY WHICH CAN BE ADDED TO ESTATE IF NEEDED TO PAY CLAIMS 1. Joint accounts with right of survivorship (List bank, etc., each account no., balance and joint owners.) $ 2. Stocks and bonds jointly owned with right of survivorship........................................ 3. Other personal property recoverable (G.S. 28A-15-10)............................................. 4. Real estate owned by decedent and not listed elsewhere.......................................... TOTAL PART II. $ PART III. OTHER PROPERTY 1. Entireties Real Estate owned by decedent and spouse (List 1/2 value)............................... $ 2. Insurance, Retirement Plan, I.R.A., accounts, etc., payable to named beneficiaries......... 3. There is is not a potential claim for wrongful death arising under G.S. 28A-18.2 ..... 4. There are are not transfers over which decedent retained any interest as described in N.C. Inheritance Tax Laws, G.S. 105-2(3) through 105-2(6).................................... 5. There were were not gifts made three (3) years or less before decedents death. TOTAL PART III. $ Signature Of Applicant Signature Of Co-Applicant SWORN AND SUBSCRIBED TO BEFORE ME SWORN AND SUBSCRIBED TO BEFORE ME Date Date Signature Of Person Authorized To Administer Oaths Signature Of Person Authorized To Administer Oaths Date Commission Expires Deputy CSC Assistant CSC Deputy CSC Assistant CSC Date Commission Expires SEAL CSC Notary CSC Notary SEAL AOC-E-202, Side Two, Rev. 5/98 1998 Administrative Office of the Courts
|
|||||||
