Form Aoc-830 - 2015 Petition/order To Dispense With Administration Form

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AOC-830
Doc. Code: PDA & ODA
Rev. 1-15
Case No. ____________________
Page 1 of 2
Court
____________________
District/Probate
P
/o
t
d
Commonwealth of Kentucky
etition
rder
o
isPense
County
____________________
Court of Justice
W
A
ith
dministrAtion
Division
____________________
(Surviving Spouse/
KRS 391.030; 394.145; 395.455;
Children/Preferred Creditor)
395.470; 396.095
IN RE: Estate of _______________________________________________________________________
(Name of Decedent)
Address: ________________________________________
Date of Death: _____________________________
________________________________________
________________________________________
Date of Birth: _____________________________
Social Security Number: ____________________________
PETITION
Comes the Petitioner, being first duly sworn, and states as follows:
1.
Decedent died [ ] testate [ ] intestate with residence at the above listed address and on the above date.
2.
At the time of death, decedent left no estate to be administered with the exception of the following assets (include
value for each asset listed): _____________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
3.
In relation to the above named decedent, I am the
[ ] surviving spouse [ ] only surviving child
(check all that apply)
[ ] surviving child whose surviving siblings have signed a waiver herein or attached a waiver [ ] preferred
creditor [ ] preferred creditor of the decedent whose surviving spouse has signed a waiver herein or attached a
waiver [ ] assignee of the preferred creditor.
4.
[ ]
Petitioner applies for Probate of Decedent's Will, filed herewith, which is his/her Last Will and
(check if applicable)
Testament.
5. As a preferred creditor/assignee of decedent, I have paid the following claim(s) against the estate in the following order
(attach receipts):
Claim
Payee
Amount
a.
Cost and Expenses of Administration
__________________________________
____________
b.
Funeral expenses
__________________________________
____________
c.
Debts and taxes with preference
under federal and Kentucky Law
__________________________________
____________
d.
Other
__________________________________
____________
6. I certify that I have advertised for creditors of the intestate in accordance with the requirements set forth in KRS 395.470.
7. I certify that there has been no previous administration of decedent's estate within Kentucky or elsewhere.

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