Application For Probate Appointment Form - Norfolk Circuit Court
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APPLICATION FOR PROBATE APPOINTMENT
**FEES AND TAXES ARE DUE ON THE DAY OF YOUR APPOINTMENT**
You MUST return this application to the Probate Division BEFORE setting your appointment. Please
INCLUDE a copy of the WILL and DEATH CERTIFICATE. You may fax (757-664-4014), email
(probate710@circuitcourtva.us) or mail (Norfolk Circuit Court Clerk’s Office, Probate Division, 150 St.
Paul’s Blvd. 7th Floor, Norfolk, VA 23510) the information.
APPLICANT INFORMATION
Full Name: ___________________________________________________________________________
Address: _____________________________________________________________________________
City/State/Zip: _________________________________________________________________________
Daytime Telephone Number: _____________________________________________________________
Relationship to the decedent: _____________________________________________________________
DECEDENT INFORMATION
Full Name: ___________________________________________________________________________
Address at time of death: _________________________________________________________________
SSN: ________________________________________________________________________________
Date of birth: __________________________________________________________________________
Date of death: _________________________________________________________________________
Will: Yes
No
Dated: _______________________
# of Pages: ___________________
ASSETS OF THE DECEDENT
List assets in the decedents name only. (Ex: bank accounts, stocks, cars, etc.)
Do not list accounts/policies with “survivorship, “payable on death”, or “beneficiary”.
Description
Estimated Value
1. ____________________________________________________________
___________________
2. ____________________________________________________________
___________________
3. ____________________________________________________________
___________________
4. ____________________________________________________________
___________________
REAL ESTATE
Provide all the addresses of real estate in the decedent’s name.
1. __________________________________________________________: jointly held YES
NO
2. __________________________________________________________: jointly held YES
NO
HEIRS AT LAW
Heirs at law are next of kin (spouse, children birthed/fathered, parents, siblings, etc) and do not necessarily
inherit under the will.
Law requires the full name, ages and complete addresses of the heirs.
Name
Age
Relationship
Address
1. ____________________________________________________________________________________
2. ____________________________________________________________________________________
3. ____________________________________________________________________________________
4. ____________________________________________________________________________________
5. ____________________________________________________________________________________
FOR OFFICE USE ONLY
Appointment: Day/Date/Time: ____________________________________________________________
_
Will With/Without Surety: ____________
Will Self-Proving : _________________________________
Action/Notes: _________________________________________________________________________
_
______________________________________________________________________________________
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