Form 10190 Suggestion Of Death Of Protectee And Petition That No Letters Of Administration Be Granted And To Close The Estate

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IN THE CIRCUIT COURT OF JACKSON COUNTY MISSOURI
AT
IN THE ESTATE OF
ESTATE NUMBER
,
Protectee Now Deceased.
SUGGESTION OF DEATH OF PROTECTEE
AND PETITION THAT NO LETTERS OF ADMINISTRATION
BE GRANTED AND TO CLOSE THE ESTATE
Comes now the undersigned conservator of the above named protectee, now deceased, and shows
the court as follows:
That said protectee died intestate on
.
That said protectee left no debts for which the estate would be liable other than funeral expenses,
estate taxes, obligations of the protectee incurred by the conservator and expenses of administration;
That the domicile of protectee was
.
That the probable value of the protectee's estate is: Real property, $
; Personal property $
;
That applicant believes there *(are are not) heirs whose name and addresses are known to the
applicant;
That the names, relationships to decedent and residence addresses or the surviving spouse and
heirs, with an indication of those believed by applicant to be Incapacitated or disabled, and the birth dates
of those who are minors, and, so far as is known to applicant, the names and addresses of the guardians
and conservators of those who are minors, incapacitated or disabled, are set forth in Exhibit A attached
hereto and incorporated herein by this reference.
THEREFORE, applicant prays that no letters of administration be granted on the above estate and
that the conservator be permitted to make distribution as provided in Sec. 475.320, RSMo.
*
Strike inapplicable
The undersigned swears that the matters set forth above are true and correct to the best knowledge
and belief of the undersigned, subject to the penalties of making a false affidavit or declaration.
Dated:
Applicant: ____________________________________________________________________
Address: __________________________________/______/(____)_______________________
Zip
Phone Number
Attorney: _______________________________________________ MO BAR No.__________
Address: __________________________________/______/ (____)_______________________
Zip
Phone Number
Fax Number: (____)_____________________. E-Mail Address: _________________________
Form 10190

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