Affidavit Of Distributees For Collection Of Small Estate Form Page 2
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27. The facts establishing the right to the property as prescribed by Sec. 473.097
of the Probate Code are:
(a) Decedent’s Last Will & Testament
(b) Intestate Succession
8. The total value of decedent’s estate including real and personal property, less
liens and encumbrances, does not exceed $40,000.00.
9. No letters testamentary of administration have been issued or applied for in
said estate, nor has any order refusing letters been made in accordance with Sec 473.090,
RSMo., nor has an application for such order been filed.
10. More than thirty (30) days have elapsed since the death of the decedent.
11. (a) The distributees have filed in this Circuit Court, Probate Division, their
bond on
the form and manner described by law.
(b) The Circuit Court, Probate Division, has by order dispensed with the filing
of a bond by the distributees, and has appointed _____________________________________ as
designee to collect and distribute said property.
_________________________________________________________________________________________
AFFIANT’S SIGNATURE
ADDRESS
PHONE #
STATE OF MISSOURI, County of St. Charles. On this ________ day of ______________________,
_______, before me, _______________________________, a notary public/clerk, in and for
said state, personally appeared ____________________________, known to me to be the
person who executed the within Affidavit and acknowledged tome that __h___ executed the
same for the purpose therein stated.
_______________________________________
Notary Public
Clerk
(seal)
BY:____________________________________
Deputy Clerk
_______________________________________________________________________________________
Attorney for Affiant
Address
Phone #
----------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------
STATE OF MISSOURI
)
CERTIFICATE OF CLERK
) ss.
(To be filled out by Clerk)
County of St. Charles)
#__________________________
I, ________________________________, Clerk of the Circuit Court, Probate Division
of St. Charles County, Missouri, certify that the annexed affidavit has been duly filed
with the Court; that the decedent’s name is _______________________________. That the
name and addresses of the persons entitled to the described property under the facts
stated in the affidavit are:
1. (a) The Will of decedent was fully admitted to probate in this Court on the
_______ day of _____________________, ________.
(b) No Will of decedent has been filed for probate prior to the signing of
certificate.
2. (a) The distributees of said estate have filed a bond in the amount of
$______________, with ______________________________, as surety in this Court.
(b) The Court has made an order dispensing with the filing of a bond by the
distributees and has appointed ________________________ as designee to collect
and distribute said property.
IN TESTIMONY WHEREOF, I have on this _________ day of _________________, _______,
at my office in the Court aforesaid, set hereunto my hand and affixed the seal of said
Court.
_______________________________________
Clerk
(seal)
BY:____________________________________
Deputy Clerk
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