File No. STATE OF NORTH CAROLINA In The General Court Of Justice Superior Court Division Before The Clerk County IN THE MATTER OF THE ESTATE OF: Name Of Decedent/Minor/Incompetent Date Of Birth, If Minor ESTATES ACTION COVER SHEET Date Of Death Social Security No. Rule 5(b), Rules of Practice For Superior and District Courts Name Of Fiduciary 1 Name Of Fiduciary 2 Tax ID/SSN Tax ID/SSN All persons listed below may be entitled to share in the decedent's estate (Continue on back if necessary.) 1. 8. 2. 9. 3. 10. 4. 11. 5. 12. 6. 13. 7. 14. Name And Address Of Attorney (co mplete for initial appearance or change of address) Name Of Firm Attorney Bar No. Tax ID No. Telephone No. Initial Appearance in Case Change of Address Fax No. APPLICATION (check appropriate box) Renunciation Of Testamentary Trustee (RNTT) Resignation Of Trustee (RSNT) Standby General Guardianship - Minor (SGUG) Standby Guardianship Of Person - Minor (SGUP) Summary Administration (SUMA) Trust - Cemetery (TCEM) Trust Under Will Qualification Required, No Accountings (TRNQ) Trust Under Will Qualification And Accounting Required (TRUW) Will For Probate No Qualification (WLPR) Other: (specify) Affidavit For Collection Of Personal Property (AFCP) Appointment Of Receiver (APRC) Collector (COLL) General Guardianship - Incompetent (GUIN) General Guardianship - Minor (GUMI) Guardianship Of The Estate - Incompetent (GUEI) Guardianship Of The Estate - Minor (GUEM) Guardianship Of The Person (GUPE) Letters Of Administration, Administration CTA (LOAD) Probate, Letters Testamentary (PROB) Renunciation of Interest - No Estate (RNUN) Date Signature Of Attorney/Applicant NOTE: All filings in estates shall include as the first page of the filing a cover sheet summarizing the critical elements of the filing in a format prescribed by the Administrative Office of the Courts, and the Clerk of Superior Court shall require a party to refile a filing which does not include the required cover sheet. AOC-E-650, Rev. 1/02 2002 Administrative Office of the Courts (Over) ADDITIONAL PERSON(S) WHO MAY BE ENTITLED TO SHARE IN DECEDENT'S ESTATE 15. 40. 16. 41. 17. 42. 18. 43. 19. 44. 20. 45. 21. 46. 22. 47. 23. 48. 24. 49. 25. 50. 26. 51. 27. 52. 28. 53. 29. 54. 30. 55. 31. 56. 32. 57. 33. 58. 34. 59. 35. 60. 36. 61. 37. 62. 38. 63. 39. 64. AOC-E-650, Side Two, Rev. 1/02 2002 Administrative Office of the Courts
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