Person Filing: Address (if not protected): City, State, Zip Code: Telephone: Email Address: Lawyer's Bar Number: Licensed Fiduciary Number: ____________________________________ Representing Self, without a Lawyer or Attorney for Petitioner OR FOR CLERK'S USE ONLY Respondent SUPERIOR COURT OF ARIZONA MARICOPA COUNTY In the Matter of the Estate of: Case Number: PB INSTRUMENT OR DEED OF DISTRIBUTION an Adult a Minor, deceased I was appointed Personal Representative of the Estate in this case on (date) to distribute the property of the Estate as required by Title 14 of the Arizona Revised Statutes. I hereby assign, transfer and release all right, title and interest to the following property to the following person(s): 1. PERSONS TO WHOM PROPERTY FROM THE ESTATE WAS GIVEN and DESCRIPTION OF PROPERTY: Name Address Legal Description 2. MONEY STILL OWED ON PROPERTY. Distribution of the property is subject to the following liability: (If this applies to your case, describe the property, the amount of money still owed on the property, why the property has not been paid for before or in connection with distribution and the closing of the estate, and arrangements that have been made to accommodate outstanding liability; otherwise, write "none") Property Description: Money Owed on Property: Reasons Money Owed: Arrangements to Pay: © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED PBIPF51f-042916 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com DED Case No. Property Description: Money Owed on Property: Reasons Money Owed: Arrangements to Pay: Property Description: Money Owed on Property: Reasons Money Owed: Arrangements to Pay: Personal Representative Print name STATE OF COUNTY OF Subscribed and sworn to or affirmed before me this: (date) . by (notary seal) Deputy Clerk or Notary Public © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED PBIPF51f-042916 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com DED