REAL ESTATE INFORMATION NEEDED BY McCORMICK COUNTY PROBATE COURT. Deed Book: Page: TMS#: Value: Deed Book: Page: TMS#: Value:

Similar documents
Kathy G. Ward, Judge of Probate Carroll D. Padgett,, Jr., Chief Associate Judge Donna H. Lupo, Associate Judge

ESTATE OPENING WORKSHEETS

ITEMS AND DOCUMENTS NEEDED TO OPEN AN ESTATE. 2. The original Last Will and Testament, (if one exists), and any and all Codicils or Memoranda.

PROBATE INFORMATION SHEET

INVENTORY AND APPRAISEMENT ORIGINAL SUPPLEMENTAL #

PROBATE ESTATE ADMINISTRATION CHECKLIST

DISPOSITION OF PERSONAL PROPERTY WITHOUT ADMINISTRATION (FLA. STAT )

CHERRY CREEK CORPORATE CENTER 4500 CHERRY CREEK DRIVE SOUTH, SUITE 600 DENVER, CO

What to do when a loved one dies: Guide to Estate Settlement

2816 Bedford Road, Bedford, TX (Metro) (fax) PROBATE INFORMATION FORM DATE:

County of Ocean, New Jersey. Jeffrey W. Moran, Surrogate 118 Washington Street, P. O. Box 2191 Toms River, NJ Phone:

ESTATE PLANNING QUESTIONNAIRE FOR A COUPLE

SMALL ESTATE AFFIDAVIT AND ORDER

ESTATE WORKSHEET. To the best of your knowledge, was the decedent a patient in a South Carolina Mental Health facility during his/her lifetime?

Probate. Melissa Geist, Operation Assistant Director Karen Yanik, Operation Manager. Civil, Probate and Mental Health Divisions

For Preview Only - Please Do Not Copy

NOTATIONS FOR FORM 112

ANNUAL REPORT AMENDED ANNUAL REPORT # INTERIM REPORT REQUIRED BY COURT ORDER FINAL REPORT WITH APPLICATION/PETITION FOR DISCHARGE

Probate in Florida* 2. WHAT ARE PROBATE ASSETS?

CLIENT INFORMATION ORGANIZER ESTATE ADMINISTRATION

1 Account Holder Information

No inheritance tax release is required but all debts of the decedent must have been paid or provided for.

FORM 6 OPENING DISCOVERY INTERROGATORIES IN THE CIRCUIT COURT OF COLE COUNTY, MISSOURI

Probate in Florida. 1. What is probate?

IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT IN AND FOR PINELLAS COUNTY, STATE OF FLORIDA FAMILY LAW DIVISION CASE NO.

PROBATING A VERMONT ESTATE *Rules and statutes are subject to change. This information is intended as a guide only*

GUIDELINES for ADMINISTRATION of DECEDENTS ESTATES

Life changes. We ll be there. A Helpful Guide Upon the Loss of a Loved One

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address)

ESTATE PLANNING AND WILL INFORMATION FORM

PROBATE/TRUST ADMINISTRATION QUESTIONNAIRE

Transfer on Death Addendum and Application

PROBATE QUESTIONNAIRE. Name of person filling this out: Address: Phone no.: Date of Birth: Driver s License No. and State: Social Security Number:

Instructions for Filing Small Estates Jackson County Circuit Court

SENATE BILL lr1198 A BILL ENTITLED. Estates and Trusts Elective Share Augmented Estate

Decedent s Probate What These Terms Mean Is Probate Necessary to Transfer Property at Death?

PROBATE IN VIRGINIA Prepared by the Virginia Court Clerk s Association Edited by George E. Schaefer, Clerk Norfolk Circuit Court

APPLICATION TO TRANSFER CAPITAL CREDIT ACCOUNT OF DECEASED MEMBER

MICHIGAN REVOCABLE LIVING TRUST OF

Transfer on Death Agreement

ESTATE PLANNING WORKSHEET

6. The legal home where a person has a true, fixed, and permanent place of dwelling and to which the person intends to return when absent

GUIDELINES FOR ADMINISTRATION OF DECEDENTS ESTATES

Jackson County Probate Court 312 S. Jackson St. Jackson, MI Phone: Fax:

THE STATE BAR OF CALIFORNIA DO I NEED A WILL? GET THE LEGAL FACTS OF LIFE

[FORM 6:SS] CALIFORNIA PRACTICE GUIDE: ENFORCING JUDGMENTS AND DEBTS FORMS QUESTIONNAIRE FOR JUDGMENT DEBTOR EXAMINATION. 1. Name of judgment debtor

ESTATE PLANNING AND WILL INFORMATION FORM

1622 W. Colonial Parkway, Suite 201 (847) Inverness, Illinois Fax (847)

TRUST ADMINISTRATION QUESTIONNAIRE. Trust Name: Name of person filling this out: Address: Phone no.: Date of Birth: Driver s License No.

355 South Court Street. Bronson, Florida Phone: (352) Clerk 0!

FOND DULAC BAND OF LAKE SUPERIOR CHIPPEWA TRIBAL COURT PROBATE PACKET (NO WILL)

WHAT IS ESTATE PLANNING? (A Primer)

YOUR LOVED ONE S ESTATE:

ESTATE PLANNING DICTIONARY

AN ACT. Be it enacted by the General Assembly of the State of Ohio:

GENERAL ESTATE PLANNING QUESTIONS

ESTATE PLANNING WORKSHEET (Married or Single - Single Persons Please Ignore References to Spouse)

3. Children (please indicate whether any child is from a prior marriage and if the child is deceased). For minors, include their age:

of Nebraska - Lincoln. Follow this and additional works at:

THE MURPHY LAW GROUP, P.A. ATTORNEYS & COUNSELORS AT LAW

Estate Administration Checklist

Page/Collins Class Action Settlement Director

SURVIVOR'S CHECKLIST

PROBATE INFORMATION SHEET

CAUSE NO INTRODUCTION:

Elizabeth A. O Connell, Paralegal Debra Peers, Assistant INFORMATION FORM. Home Phone Cell Phone Work Phone Date of Birth If deceased, Date of Death

SMALL ESTATE AFFIDAVIT CHECKLIST

PROBATE AND ESTATE TAX QUESTIONNAIRE

Probate in Flor ida 1

Testator (whose estate plan is this?)

Express Estate Plan SM Workbook

TRUST ADMINISTRATION QUESTIONNAIRE

ELDER LAW FIRM OF ANDREW OLSEN

Johnson, Larson & Peterson, P.A. Attorneys at Law

INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM (c), STANDARD FAMILY LAW INTERROGATORIES FOR MODIFICATION PROCEEDINGS

CENTRAL LABORERS ANNUITY FUND

JOHNSTON LEGAL GROUP PC

GLOSSARY. Compiled by Carolyn Paseneaux

A guide to estate settlement

OREGON TRAIL ELECTRIC COOPERATIVE

Description of Basic Steps Required in an Independent Administration of an Estate

ESTATE PLANNING FACTS

WILL WITH TESTAMENTARY TRUST

THE DEATON LAW FIRM INVENTORY, APPRAISEMENT, LIST OF CLAIMS, DEBTS AND CREDITOR INFORMATION NAME OF DECEDENT: DATE OF DEATH: 1.

A Guide to the Administration of Decedents Estates in Virginia

LECTURE NOTES CHAPTER

Pennyborn s Living Trust Checklist Page 1 of 7 INSTRUCTIONS FOR USING PENNYBORN S LIVING TRUST CHECKLIST

Guide for personal representatives

When should this form be used?

ESTATE PLANNING QUESTIONNAIRE

Section 11 Probate Glossary

Tennessee Intestacy Statute. Basics of Probate for the General Practitioner. Probate Jurisdiction. Codified at T.C.A

Koppel Kessler Julie LLP ESTATE PLANNING QUESTIONNAIRE

THE LIVING TRUST. TRUST AGREEMENT signed this day of, 20 by. (hereafter "Settlor,"), and trustee. (hereafter "trustee). ESTABLISHMENT OF TRUST

Small Estate Affidavit

CHESTERFIELD TOWNSHIP MACOMB COUNTY HARDSHIP EXEMPTION APPLICATION TAX YEAR 2015

ESTATE PLANNING GUIDE

Co-Debtor [Questionnaire Answers Under Oath]:

Estate Planning Forms Library

LAW OFFICES OF FLOOD & FAVATA ESTATE PLANNING QUESTIONNAIRE

Transcription:

REAL ESTATE INFORMATION NEEDED BY McCORMICK COUNTY PROBATE COURT List below property of: Decedent Deed Book: Page: TMS#: Value: Deed Book: Page: TMS#: Value: Deed Book: Page: TMS#: Value: Completed by: STATE OF SOUTH CAROLINA PROBATE COURT COUNTY OF MCCORMICK

IN THE MATTER OF CASE NUMBER AFFIDAVIT OF PERSONAL REPRESENTATIVE I,, understand and agree to the following: The assets and monies in the estate are only to be used to pay the debts and obligations of the estate in the proper order of priority; I am to deposit all monies into an estate account ( ) Required ( ) Not required I am not to use any estate assets or monies for my personal debts or obligations; I am not to use any estate assets or monies for the debts or obligations of any heirs or devisees; I cannot sell tangible personal property owned by the decedent that has a value of over $5,000.00 without the authority to do so granted to me in the decedent s will or a court order giving me this specific authority. I cannot sell real property owned by the decedent without the authority to do so granted to me in the decedent s will or a court order giving me this specific authority; I must resolve the debts of the estate before I make any distributions to the heirs or devisees of the estate, and; I will be personally liable to any beneficiary or other person(s) having an interest in the estate for any negligence and/or intentional misconduct in the performance of my duties as Personal Representative. Executed this day of, 20 Signature: Name: Address: Telephone: Sworn to before me this day of, 20 Notary Public of South Carolina My Commission Expires:

MCCORMICK COUNTY PROBATE COURT 133 SOUTH MINE STREET Room 101 McCormick, South Carolina 29835 We, the employees of the McCormick County Probate Court, understand that this is a very sad and emotional time. We are committed to making the Probate process as easy on you and your family as we can. We are here to assist you. After meeting with you at your opening appointment, the probate staff may advise you that this is an estate that should be handled by an attorney. Please keep in mind that the Probate Court staff cannot give legal advice. The Probate Court receives and files documents and ensures that each estate is handled appropriately. BEFORE COMING FOR YOUR OPENING APPOINTMENT, YOUR APPLICATION FOR INFORMAL PROBATE ALONG WITH THE WORKSHEET MUST BE COMPLETED IN FULL. PLEASE COLLECT THE FOLLOWING INFORMATION AND BRING IT TO YOUR OPENING APPOINTMENT: Completed Probate Court Worksheet this form is necessary to determine whether an estate needs to be opened, whether a small estate affidavit can be filed or whether the decedent s Last Will and Testament needs to be filed only. Completed Application/Petition for Probate this form needs to be completed in it s entirety either typed or printed in ink failure to include addresses on Parts 4a and 4b of Section I will delay the opening of the estate and the issuance of a Certificate of Appointment until all addresses are provided. Please refer to the Sample for guidance. The form needs to be completed in its entirety before you arrive for your appointment. Certified copy of the decedent s death certificate. Decedent s original Last Will and Testament and any and all original Codicils and Memorandums, as applicable. Copy of the obituary OR Funeral program which lists the surviving family members. Copy of all Deeds for real property that the decedent had an interest in. Name of any heirs that predeceased the decedent.

Copy of the paid funeral bill and/or funeral bill showing the outstanding balance. Renunciation/Nomination of Right to Administer, if applicable - if the primary person named in the Will is not going to serve or if the person with priority in an estate without a will (intestate estate) is not going to serve, then these forms are required to be filed at the time of your appointment. Waiver of Bond, if applicable - may be required in an intestate estate or in a testate estate when Renunciation/Nominations are filed. A publication fee in the amount of $60.00 made payable to the McCormick County Messenger. Court cost will be assessed after the estate is established and a Personal Representative has been appointed. The court costs may be paid with cash, money order or personal check payable to McCormick County Treasurer. We are unable at this time to accept payment by debit or credit card. Please be advised that opening appointments usually last one hour. If you arrive late or the paperwork is not completed or the necessary documents are not brought with you to the appointment, your appointment will be delayed and may possibly have to be rescheduled to another day. Please refer to the enclosed sample of the Application/Petition for Probate when completing the Application as we believe this sample will answer most of your questions. As a reminder, the Probate Court staff is here to assist you. If you should need additional assistance or guidance in completing the documents, please call 864-852-2630.

MCCORMICK COUNTY PROBATE COURT WORKSHEET This worksheet should be completed BEFORE your opening appointment. If this form has not been completed, Court Personnel cannot determine if you will need legal assistance or if you can handle the estate yourself. Remember, it may be necessary to call 864-852-2630 to reschedule an appointment if you have not completed the required forms. A. REAL ESTATE (IN STATE AND OUT OF STATE) Owners name: Tax Map Number: Location: Value B. STOCKS, BONDS (in decedent s name alone) Stocks: Bonds: C. CASH, BANK ACCOUNTS*, NOTES (BEING PAID TO DECEDENT) *Bank accounts with or See Schedule E. Cash on hand? yes no If yes, amount: $ Paycheck? yes no If yes, amount: $ From: Payable to: Refund checks? yes no If yes, amount: $ From: Payable to: From: Payable to: Mortgage due decedent? yes no If yes, amount: $ From: Inheritance to be received by decedent: yes no Describe: Bank/Company Name Amount Checking account(s): Savings account(s):

C. D.(s): Other (list): West Carolina Telephone Co. (capital credit refunds: Y/N Little River Electric Coop: (capital credit refunds: Y/N Aiken Electric Coop: (capital credit refunds: Y/N D. PART 1 INSURANCE PAYABLE TO THE ESTATE: Company Name & Policy Number Face Value PART 2 INSURANCE PAYABLE TO BENEFICIARY: Beneficiary Name Company Name & Policy No. Face Value E. JOINTLY OWNED PROPERTY (With Right of Survivorship) Exact Names on Account Bank/Company Name Amount Checking Account(s): Certificate(s) Of Deposit: Stocks: Bonds: Real Property: (Bring copy of Deed) Other (list vehicles, etc.):

F. MISCELLANEOUS Household Goods & Furnishings: Exact name on Title Year/Model Value Vehicles (auto, etc.): Boat, motors, and Trailers: Mobile Homes: Farm Equipment: Description Approximate Value Business owned: Jewelry (of value): Collectibles: Other (list): G. TRANSFERS DURING DECEDENT S LIFE Beneficiary Value Trust: Life Estate: Savings Bonds (POD): Other (list): H. POWERS OF APPOINTMENT DID DECEDENT hold a Power of Appointment given by another? If yes, bring a copy of the document creating the Power. Did DECEDENT hold any of the following titles at time of death?

If yes, for whom? Guardian: yes no Custodian: yes no Committee/Conservator: yes no Trustee: yes no Estate Representative: yes no Other (specify): I. ANNUITIES Beneficiary Name Company Name Value IRA: Pension: 401K: Keogh: Other (list): J. ENCUMBRANCES (Mortgages, Liens, Judgments, etc.) (House, Land, Automobile, etc.) Company Name Description Amount OUTSTANDING DEBTS/BILLS OWED BY THE DECEDENT (Funeral, Hospital, EMS, Doctors, Credit Cards, etc.) Name of Creditor Amount Owed

SAMPLE STATE OF SOUTH CAROLINA COUNTY OF MCCORMICK PROBATE COURT IN THE MATTER OF : CASE NUMBER: Decedent s Name # Assigned by Probate Court APPLICATION FOR INFORMAL PROBATE OF WILL APPOINTMENT (check any that apply) PETITION FOR FORMAL TESTACY APPOINTMENT Applicant/Petitioner: Address: Telephone: E-Mail: Name of person completing form Address of person completing form Work, Home and Cell telephone numbers of person completing form E-mail address of person completing form I. ALL APPLICANTS/PETITIONERS MUST COMPLETE THIS SECTION. 1. Nature of interest of undersigned: Your relationship to the decedent 2. Decedent Information (This can be obtained from death certificate) Name: Name of the decedent Social Security Number: Social Security Number of the decedent Date of Birth: Decedent s date of birth Date of Death: Decedent s date of death Age at date of death: Decedent s age at time of death Domicile at date of death: Decedent s County and State of residence at time of death (County) (State) 3. Venue for this proceeding is proper in this county because: Decedent was domiciled in this county at date of death. Decedent was not domiciled in South Carolina, but property of Decedent was located in this county at date of death. Decedent has a right to take legal action in this county because: **YOU COMPLETE 4a IF THERE IS A WILL. BLANK** IF THERE IS NOT A WILL, THEN 4a IS LEFT 4a. Names and addresses of devisees, including dates of birth of minors: Date of Relationship Name Birth Address to Decedent Enter the names, dates of birth for minors, complete addresses and relationships of persons named in the Will to inherit. A Personal Representative can not be appointed without complete addresses. (use additional sheet if necessary) **YOU COMPLETE 4b IF THERE IS A WILL AND IF THERE IS NO WILL**

4b. Names and addresses of intestate heirs who are not devisees, including dates of birth of minors: Date of Relationship Name Birth Address to Decedent Enter the names, dates of birth for minors, complete addresses and relationships of persons who are heirs of the decedent but not inheriting from the Will. (Example: wife and two children survive decedent, the Will leaves everything to the wife, wife is listed on 4a = two children are listed here.) A Personal Representative can not be appointed without complete addresses. *All of the following YES or NO questions must be answered. Do not leave any questions blank. If an explanation is required please explain on page 3. *** 5. Did decedent have any change of marital status or the birth or adoption of any children after execution of the Will (if one exists), or has any child of the decedent been born since his/her death, or is any birth of a child of the decedent anticipated? (This includes illegitimate children.) NO YES If yes, please explain on page 3. 6. To the best of your knowledge, was the decedent a patient in a South Carolina Mental Health facility during his/her lifetime? NO YES If yes, please explain on page 3. 7. Has a guardian or conservator ever been appointed for this person? NO YES If yes, please explain on page 3. 8. Has a personal representative of the decedent been appointed prior to this date in this state or elsewhere? NO YES If yes, please state details, including name and address of such Personal Representative, on page 3. 9. Have you received or are you aware of any demands for notice of any probate or appointment proceeding concerning the decedent that may have been filed in this state or elsewhere? NO YES If yes, please state details, including names and addresses, on page 3. 10. Have more than ten years passed since the decedent's death? NO YES If yes, please state circumstances authorizing tardy probate on page 3. 11. The decedent died with a personal estate of about the value of $ and real estate of about the value of $. (A full inventory and appraisement, Form #350PC, must be filed within 90 days.) If decedent was a non-resident, please attach South Carolina Tax Commission Form ET 101 if date of death was prior to 1/01/05. 12. After the exercise of reasonable diligence, are you aware of any unrevoked will and/or codicil(s), other than the one(s) attached hereto, relating to property in this State? NO YES If yes, please explain on page 3 and then proceed to Section II.

II. IF A WILL EXISTS, PLEASE COMPLETE THIS SECTION. 1. Regarding the decedent's will: Mark the box which describes the Will you wish to admit to Probate the original is attached the original is in the Court's possession an authenticated copy of a will probated in another jurisdiction is attached an authenticated copy of a will not probated in another jurisdiction is attached the will is lost, destroyed, or otherwise unavailable; however, a description of its contents is attached 2. Do you believe, to the best of your knowledge, the will described above was validly executed? YES NO If no, please explain below. 3. The date of execution of the will was: Date the Will was signed by the decedent. codicil(s): Date any Codicil was signed by the decedent. 4. Are you aware of any instrument or document amending or revoking the will? NO YES If yes, please explain below. 5. Have you exercised reasonable diligence to determine there is no instrument or document revoking the will? YES NO If no, please explain below. 6. Do you believe the will defined in "1" above is the decedent's last will? YES NO If no, please explain below. COMPLETE EXPLANATION(S) FOR QUESTIONS IN SECTIONS I AND II HERE. (If more space is required, use additional sheet.) III. IF APPLYING FOR INFORMAL OR FORMAL APPPOINTMENT, PLEASE COMPLETE THE FOLLOWING.

1. The name(s) and address(es) of the proposed Personal Representative(s) is/are: Enter the name and address of the person(s) who is/are applying to handle the distribution of the decedent s property 2. The nominee's priority of appointment is as follows: named as Primary Personal Representative in will or nominee of Primary Personal Representative named as Alternate Personal Representative in will or nominee of Alternate Personal Representative surviving spouse of decedent who is devisee of decedent or nominee of said spouse other devisee of decedent (describe): or nominee of said devisee surviving spouse of decedent or nominee of said spouse other heir of decedent (describe): or nominee of said heir creditor (forty-five days after death must have passed) or nominee of creditor other(describe): nominee of any of the above 3. List below the names of any other persons, if any, having a prior or equal right of appointment (see priority above). List anyone who would be in an equal or higher priority (see list above) than the proposed Personal Representative. Anyone with equal or higher priority must renounce their right to serve and nominate the proposed Personal Representative for Informal Appointment. (Please see Probate Form 302) IV. ALL APPLICANTS/PETITIONERS MUST COMPLETE VERIFICATION. VERIFICATION The undersigned, being sworn, states that the facts set forth in the fore-going statement are true to the best of the undersigned's knowledge, information and belief; and hereby submits to the Court's jurisdiction in this matter. SWORN to before me this day of,. Signature: Person completing form signs here Name: Print name here Notary Public signs here Notary Public for South Carolina My Commission Expires: ORDER OF INFORMAL PROBATE IT IS HEREBY ORDERED that the above application for probate of a will be GRANTED DENIED informally this day of,. ORDER FOR HEARING ON FORMAL PETITION IT IS HEREBY ORDERED that a hearing on this matter be set for: KATHRYNE P. BUTLER MCCORMICKCounty Probate Judge

DATE: TIME: PLACE: Pursuant to Section 62-1-401, the petitioner is ordered to give notice of this hearing to all interested persons at least twenty (20) days prior to the hearing. Executed this day of, KATHRYNE P. BUTLER MCCORMICK COUNTYPROBATE JUDGE ORDER OF FORMAL TESTACY On hearing of the above petition, this Court finds that the person is deceased, venue is proper, and the proceeding was commenced within appropriate time limits. The Court further finds that: the decedent died intestate. The heirs are: the decedent died testate. IT IS THEREBY ORDERED that the Last Will and Testament of the above-named decedent, dated, be admitted formally to probate. Executed this day of,. SEE ATTACHED ORDER KATHRYNE P. BUTLER MCCORMICK COUNTY PROBATE JUDGE ORDER OF APPOINTMENT IT IS HEREBY ORDERED that the above application/petition for appointment be granted upon the filing of a bond as appropriate, qualification and acceptance.

Executed this day of,. KATHRYNE P. BUTLER MCCORMICK COUNTY PROBATE JUDGE QUALIFICATION AND STATEMENT OF ACCEPTANCE I accept this appointment and agree to perform the duties and discharge the trust of the office of Personal Representative of this estate. Signature: Name: Address: Telephone (O): (H): Signature: Name: Address: Telephone (O): (H): Attorney: Address: Telephone: If you do not have access to a Notary Public, a staff member at the Probate Court can notarize your signature. Please complete the Application thoroughly and list complete addresses where needed.

STATE OF SOUTH CAROLINA COUNTY OF MCCORMICK PROBATE COURT IN THE MATTER OF : CASE NUMBER: _ APPLICATION FOR INFORMAL PROBATE OF WILL APPOINTMENT (check any that apply) PETITION FOR FORMAL TESTACY APPOINTMENT Applicant/Petitioner: Address: Telephone: work: home: cell: E-Mail: I. ALL APPLICANTS/PETITIONERS MUST COMPLETE THIS SECTION. 1. Nature of interest of undersigned: 2. Decedent Information Name: Last Four Digits of Social Security Number: XXX-XX Date of Birth: Date of Death: Age at date of death: Domicile at date of death: _ (County) (State) 3. Venue for this proceeding is proper in this county because: Decedent was domiciled in this county at date of death. Decedent was not domiciled in South Carolina, but property of Decedent was located in this county at date of death. Decedent has a right to take legal action in this county because: 4a. Names and addresses of devisees, including dates of birth of minors: Date of Relationship Name Birth Address to Decedent

(use additional sheet if necessary) 4b. Names and addresses of intestate heirs who are not devisees, including dates of birth of minors: Date of Relationship Name Birth Address to Decedent (use additional sheet if necessary) 5. Did decedent have any change of marital status or the birth or adoption of any children after execution of the Will (if one exists), or has any child of the decedent been born since his/her death, or is any birth of a child of the decedent anticipated? (This includes illegitimate children.) NO YES If yes, please explain on page 3. 6. To the best of your knowledge, was the decedent a patient in a South Carolina Mental Health facility during his/her lifetime? NO YES If yes, please explain on page 3. 7. Has a guardian or conservator ever been appointed for this person? NO YES If yes, please explain on page 3. 8. Has a personal representative of the decedent been appointed prior to this date in this state or elsewhere? NO YES If yes, please state details, including name and address of such Personal Representative, on page 3. 9. Have you received or are you aware of any demands for notice of any probate or appointment proceeding concerning the decedent that may have been filed in this state or elsewhere? NO YES If yes, please state details, including names and addresses, on page 3. 10. Have more than ten years passed since the decedent's death? NO YES If yes, please state circumstances authorizing tardy probate on page 3. 11. The decedent died with a personal estate of about the value of $ and real estate of about the value of $. (A full inventory and appraisement, Form #350PC, must be filed within 90 days.) If decedent was a non-resident, please attach South Carolina Tax Commission Form ET 101 if date of death was prior to 1/01/05. 12. After the exercise of reasonable diligence, are you aware of any unrevoked will and/or codicil(s), other than the one(s) attached hereto, relating to property in this State?

NO YES If yes, please explain on page 3 and then proceed to Section II. II. IF A WILL EXISTS, PLEASE COMPLETE THIS SECTION. 1. Regarding the decedent's will: the original is attached the original is in the Court's possession an authenticated copy of a will probated in another jurisdiction is attached an authenticated copy of a will not probated in another jurisdiction is attached the will is lost, destroyed, or otherwise unavailable; however, a description of its contents is attached 2. Do you believe, to the best of your knowledge, the will described above was validly executed? YES NO If no, please explain below. 3. The date of execution of the will was: codicil(s): 4. Are you aware of any instrument or document amending or revoking the will? NO YES If yes, please explain below. 5. Have you exercised reasonable diligence to determine there is no instrument or document revoking the will? YES NO If no, please explain below. 6. Do you believe the will defined in "1" above is the decedent's last will? YES NO If no, please explain below. COMPLETE EXPLANATION(S) FOR QUESTIONS IN SECTIONS I AND II HERE. (If more space is required, use additional sheet.)

III. IF APPLYING FOR INFORMAL OR FORMAL APPOINTMENT, PLEASE COMPLETE THE FOLLOWING. 1. The name(s) and address(es) of the proposed Personal Representative(s) is/are: 2. The nominee's priority of appointment is as follows: named as Primary Personal Representative in will or nominee of Primary Personal Representative named as Alternate Personal Representative in will or nominee of Alternate Personal Representative surviving spouse of decedent who is devisee of decedent or nominee of said spouse other devisee of decedent (describe): or nominee of said devisee surviving spouse of decedent or nominee of said spouse other heir of decedent (describe): or nominee of said heir creditor (forty-five days after death must have passed) or nominee of creditor other(describe): nominee of any of the above 3. List below the names of any other persons, if any, having a prior or equal right of appointment (see priority above). IV. ALL APPLICANTS/PETITIONERS MUST COMPLETE VERIFICATION. VERIFICATION The undersigned, being sworn, states that the facts set forth in the fore-going statement are true to the best of the undersigned's knowledge, information and belief; and hereby submits to the Court's jurisdiction in this matter. SWORN to before me this day of,. Signature: Name: Notary Public for South Carolina My Commission Expires: ORDER OF INFORMAL PROBATE

IT IS HEREBY ORDERED that the above application for probate of a will be GRANTED DENIED informally this day of,. KATHRYNE P. BUTLER MCCORMICK COUNTY PROBATE JUDGE DATE: TIME: PLACE: ORDER FOR HEARING ON FORMAL PETITION IT IS HEREBY ORDERED that a hearing on this matter be set for: Pursuant to Section 62-1-401, the petitioner is ordered to give notice of this hearing to all interested persons at least twenty (20) days prior to the hearing. Executed this day of, KATHRYNE P. BUTLER MCCORMICK COUNTY PROBATE JUDGE ORDER OF FORMAL TESTACY On hearing of the above petition, this Court finds that the person is deceased, venue is proper, and the proceeding was commenced within appropriate time limits. The Court further finds that: the decedent died intestate. The heirs are: the decedent died testate. IT IS THEREBY ORDERED that the Last Will and Testament of the above-named decedent, dated, be admitted formally to probate. Executed this day of,. SEE ATTACHED ORDER KATHRYNE P. BUTLER MCCORMICK COUNTY PROBATE JUDGE

ORDER OF APPOINTMENT IT IS HEREBY ORDERED that the above application/petition for appointment be granted upon the filing of a bond as appropriate, qualification and acceptance. Executed this day of,. KATHYRNE P. BUTLER MCCORMICK COUNTY PROBATE JUDGE QUALIFICATION AND STATEMENT OF ACCEPTANCE I accept this appointment and agree to perform the duties and discharge the trust of the office of Personal Representative of this estate. Signature: Name: Address: Telephone (O): (H): Signature: Name: Address: Telephone (O): (H): Attorney: Address: Telephone: