Form De-101 (I) - County Probate Court - State Of Maine Page 2
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4DE-101 (I)
(Rev.June 2012)
Page 2 of 4
7. Date of decedent’s death:
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8. Date of decedent’s birth:
9. Domicile of decedent at date of death:
10a. Names and addresses of spouse, registered domestic partner, children and other heirs:
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Date of Birth
Relationship to
Name
Address
if Under 18
decedent:
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10b. Is there a domestic partner (non-registered)?:
YES ____ NO ____ If yes, give name and address.
11. Does the probate estate contain real estate in Maine? YES ____ NO ____. If yes, list each municipality and county
in which such real estate is located. NOTE: Do not list jointly held property which passes by survivorship.
12. Was decedent domiciled outside of Maine at date of death? YES ____ NO ____. If yes, identify here decedent’s
property which was, at the time of decedent’s death, or has since then been located in this county, and state whether
probate proceedings have been commenced elsewhere with respect to this estate.
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13. Has a personal representative of the decedent been appointed by any court prior to this date whose appointment has
not been terminated? YES ____ NO ____. If yes, state that person’s name and address.
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