PC-1.2 (11/02, formerly SW-4 and SW-5) Administration De Bonis Non or De Bonis Non Cum Testamento Annexo |
Date filed: _____________________ |
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Court use only |
STATE OF RHODE ISLAND |
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County of ___________________________________ |
PROBATE COURT OF THE |
Estate of ____________________________________ |
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Alias _______________________________________ |
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Alias _______________________________________ |
No. ____________________ |
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Date |
[] ADMINISTRATION DE BONIS NON. or
[ ] ADMINISTRATION DE BONIS NON CUM TESTAMENTO ANNEXO
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(check one) |
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Personal estate estimated at: $____________________________ |
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Your petitioner being: |
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Name |
Relationship to the Deceased |
respectfully represents that |
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Name of Former Fiduciary |
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has: |
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[ ] died |
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] resigned |
[ ] been removed |
(check one) |
without having: |
[ ] fully administered said estate |
[ ] fully executed the will |
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(check one) |
Wherefore, I request that: |
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_______________________________________________ |
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Name of Nominee |
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Relationship to Deceased |
Name of Co-Nominee (if any) |
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Relationship to Deceased |
_______________________________________________ |
_______________________________________________ |
No. |
Street |
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No. |
Street |
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_______________________________________________ |
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State |
Zip |
Phone Number |
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Phone Number |
or any other suitable person be appointed to administer the estate not yet administered.
Attach form PC—9.1, Waiver, if applicable.
The undersigned petitioner makes affidavit and says that the above facts are true as to the best of his/her knowledge and belief.
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Signature of petitioner |
Date |
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Subscribed and sworn to before me as to the truth of all of the above facts by the petitioner.
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Notary public (please print name) |
Notary public signature |
PC-1.2 (11/02) Page 2
DECREE
Upon hearing, it is hereby ordered and decreed:
_______________________________________________ _______________________________________________
NameName
_______________________________________________ _______________________________________________
No. StreetNo. Street
_______________________________________________ _______________________________________________
City/Town |
State |
Zip |
Phone Number |
City/Town |
State |
Zip |
Phone Number |
are hereby appointed to administer the estate not already administered:
Bond fixed at: $_____________________________ |
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] With surety |
__________________________ |
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] Without surety |
(if with surety, indicate type) |
[ ] With the will annexed (check if appropriate) |
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Entered as an order and decree of the court on:
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