Deficiency Judgment {E-101}

STATE OF NORTH CAROLINA County File No. In The General Court Of JusticeSuperior Court DivisionBefore The ClerkDEFICIENCY JUDGMENTIN THE MATTER OF THE ESTATE OF Name Of DecedentG.S. 30-16, 30-20 personal representative or the estate.Original-File Copy-Applicant Name Of ApplicantDateTotal Amount AllowedSignature$$ Assistant CSC Clerk Of Superior Court Assistant CSC Clerk Of Superior Court Assistant CSC Clerk Of Superior Court Assistant CSC Clerk Of Superior Court DateSignature$ CLOCK STAMP assigning to . assigning to . assigning to . DateSignature$ CLOCK STAMP DateSignature$ CLOCK STAMP AOC-E-101, Rev. 3/18 American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATION DateSignature SEAL Assistant CSC Clerk Of Superior Court DateSignature$ CLOCK STAMP DateSignature$ CLOCK STAMP DateSignature$ CLOCK STAMP DateSignature$ CLOCK STAMP assigning to . assigning to . assigning to . assigning to . Assistant CSC Clerk Of Superior Court Assistant CSC Clerk Of Superior Court Assistant CSC Clerk Of Superior Court Assistant CSC Clerk Of Superior Court AOC-E-101, Side Two, Rev. 3/18 American LegalNet, Inc. www.FormsWorkFlow.com