Grco Form H Statement Of Value And Income For Purposes Of Waiving Bond By Professional
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1STATE OF SOUTH CAROLINA
)
IN THE PROBATE COURT
)
STATEMENT OF VALUE AND INCOME FOR
COUNTY OF GREENVILLE
)
PURPOSES OF WAIVING BOND BY PROFESSIONAL
)
)
IN THE MATTER OF
__________________________________ )
CASE NUMBER: _________________
Decedent / Incapacitated Person
)
The undersigned, after being duly sworn, states that:
1.
Pursuant to SCPC, §62-3-603, as a fiduciary, I am required to provide a proper fiduciary bond unless bond waivers can be
obtained or unless the bond is waived by the Court.
2.
My best estimate of the value of the personal property in this matter is $__________________.
3.
The income expected during the next year from the personal property in this matter is $____________________.
4.
The total of this value and income is $____________________.
5.
I am currently fiduciary for other estate/conservator cases with a value totaling $_______________________.
6.
I hereby request that the fiduciary bond requirement be waived for me in the above case since:
I hereby certify that I have a sufficient amount of liability insurance in place on this date and shall maintain sufficient insurance
coverage until the above estate is closed.
As an attorney, I am an officer of the Court and hereby certify that I have a sufficient liability insurance in place on this date
and shall maintain sufficient insurance coverage until the above estate is closed.
SWORN to before me this _______ day of
Signature:
__________________________________________
___________________________, 20____
Name:
__________________________________________
Address:
__________________________________________
__________________________________
__________________________________________
Notary Public for South Carolina
Telephone (Work):
__________________________________________
My commission expires: ______________
(Home):
__________________________________________
(Cell);
__________________________________________
Email:
__________________________________________
ORDER
IT IS HEREBY ORDERED that a fiduciary bond in the above case is:
Waived
Shall be posted in the amount of $_________________
Other: _______________________________________
Executed this _____ day of ____________________________, 20____.
__________________________________________
Debora A. Faulkner, Probate Court Judge
Caroline M. Horlbeck, Associate Probate Court Judge
Tracy Sharp-Robertson, Deputy Probate Court Judge
GrCo FORM H (1/2014)
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