CIRCUIT COURT OF CLAY COUNTY, MISSOURI PROBATE DIVISION No.__________________ Matter of _______________________________________, deceased. FINAL SETTLEMENT APPROVED: FINDING AND DECREE OF HEIRSHIP, SUCCESSION AND DISTRIBUTION (Intestate Estate) On this _____ day of __________________, 20_____, the Court considers the Final Settlement and the Petition for Determination of Heirship, Rights of Succession and for Distribution, filed herein by the Personal Representative and the Court finds: That the decedent died domiciled in and a resident of Clay County, Missouri, without a Last Will and Testament; That due and timely notice by publication and ordinary mail, of the granting of Letters of Authority to the Personal Representative of this estate was given according to law and, proof thereof filed herein; That due and timely notice of the filing of said settlement and petition was published and mailed/waived according to law and proof thereof filed herein; That no objections to said settlement or petition have been filed and the time allowed therefore has expired; That said estate is in a condition to be closed and that all allowed claims have been paid and; That said settlement has been audited and the balance shown thereon consisting of $ , in cash and other personal property valued at $ is correct. ____, WHEREFORE, IT IS HEREBY DECREED: That said settlement is approved and that all orders of partial distribution heretofore made, if any, are hereby confirmed and; That the only heirs at law of said decedent, at the time of death, were the following named persons, whose interests in the estate are as set forth below: Heirs Name Form 544-D Revised 3/17/2003 Relationship Fractional Interest Cash on hand to which each heir is entitled Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Heirs Name Relationship Fractional Interest Cash on hand to which each heir is entitled IT IS FURTHER DECREED that the above heirs are the successors to the interest of the decedent in and to the following described real and personal property and the Court orders that the property be distributed to said heirs. Inventory Item # or Tract # Property Description IT IS FURTHER DECREED that the title to all other real and personal property owned by the decedent at the time of death, subject to any lawful disposition thereof made, has vested in the aforesaid heirs in the respective proportionate interests as above set forth. IT IS FURTHER ORDERED that the Personal Representative___ shall file herein receipts showing that distribution of the personal property on hand, has been made as herein directed and then present an proposed Order Of Discharge. JUDGE Form 544-D Revised 3/17/2003 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com