Notice Of Death Of Protectee And Application That No Letters Of Administration Be Granted And To Close Estate Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Notice Of Death Of Protectee And Application That No Letters Of Administration Be Granted And To Close Estate Form. This is a Missouri form and can be use in 7th Circuit (Clay County) Local Circuit Courts.
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Tags: Notice Of Death Of Protectee And Application That No Letters Of Administration Be Granted And To Close Estate, 365-A, Missouri Local Circuit Courts, 7th Circuit (Clay County)
CIRCUIT COURT OF CLAY COUNTY, MISSOURI
PROBATE DIVISION
No.
Matter of
, disabled and now deceased.
NOTICE OF DEATH OF PROTECTEE
APPLICATION THAT NO LETTERS OF ADMINISTRATION BE GRANTED
AND TO CLOSE THE ESTATE
(Sec. 475.320 RSMo.)
The undersigned as Conservator of the Estate of Protectee,
_______,
who was disabled and is now deceased, states to the Court that:
1. Said Protectee died INTESTATE on
.
2. First publication of notice of grant of Letters of Conservatorship was on
.
3. Said Protectee left no debts for which the estate would be liable, other than funeral and burial
expenses, taxes, obligations of the Protectee incurred by the Conservator and expenses of
administration;
4. The domicile of the Protectee was
.
5. The probable value of the Protectee’s estate is Real Property $
and,
Personal Property $
..
6. Applicant___ believe___ there are *no heirs whose names and addresses are unknown to
the Applicant___;
7.That the names, relationships to the decedent and resident addresses of the surviving spouse and
heirs, with an indication of those believed by the Applicant___ to be of unsound mind, and the birth
dates of those who are minors and, so far as is known to the Applicant___, the names and
addresses of the Conservators of those who are minors or disabled are as follows:
NAME
RELATIONSHIP
BIRTH DATE
RESIDENCE
(Include all Guardians/Conservators)
(Thru Whom)
(If Under 18)
(Complete Address)
*Strike if inapplicable
Form 365-A
Revised 3/14/2003
Page 1 of 2
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WHEREFORE, Applicant ___ request ___ that no Letters of Administration be granted on the above
estate and that the Conservator ___ be permitted to pay costs, taxes, and claims as permitted in Section
475.320 RSMo., and thereafter make distribution in the manner provided by law.
THE STATEMENTS AND REPRESENTATIONS IN THIS DOCUMENT ARE MADE UNDER OATH
AND ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND
THEY ARE MADE SUBJECT TO THE PENALTIES OF MAKING A FALSE AFFIDAVIT OR DECLARATION.
Date
Applicant
Address
Phone
Attorney
Register #
Address
Phone
Form 365-A
Revised 3/14/2003
Page 2 of 2
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