COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Name: Address: Plaintiff(s) -against- Phone: Personal Calendar No. : JUDICIAL SUBPOENA : Representative : MONTANA FOR : JUDICIAL DISTRICT COUR’I COUNTY Defendant(s) : ...................................................... IN THE MATTER OF THE ESTATE OF PROBATE NO.- THE PEOPLE OF THE STATE OF NEW YORK Deceased. TO PERSONAL REPRESENTATIVES SWORN STATEMENT TO CLOSE ESTATE GREETINGS: , the Personal Representative of the above-named estate, states that: WE COMMAND the dulythat all business and excuses being laid aside, you and each of you attend before 1. He/She is YOU, appointed, qualified and acting Personal Representative of the above, the Honorable at the Court named located at County of estate. in room , on the day of , 20 , at o'clock in the noon, and at any recessed 2. He/She has published Notice to Creditors as provided in M.C.A. 72-3-801 and the time or adjourned date, to testify and give evidence as a witness in this action on the part of the limitation for presentation of creditors’ claims has expired. 3. He/She has fully administered the estate of the decedent by making payment, settlement, or Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and inheritance and other disposition of all claims which were presented, expenses of administration and estate, all damages sustained as a result of your failure to comply. other death taxes. Witness, Honorable , one of the Justices of the 4. He/She has distributed the assets of the estate to the persons entitled to the assets in the Court in County, day of , 20 amount and manner to which they are entitled as shown in the schedule attached hereto. (ATTACHMENT) 5. (Attorney must sign above and type name below) He/She has sent a copy of this statement to all distributees of the estate and to all creditors or claimants of the estate of whom he/she is aware whose claims are neither paid nor barred, and he/she has Attorney(s) for furnished a full account in writing of his/her administration to the distributees, whose interests are affected thereby. (OR The sole residual distribute is the same person as the Personal Representative and therefore, Office and P.O. Address no accounting is required.) 6. There has been tiled with the Clerk of Court: Telephone No.: ( ) A certificate from the Department of RevenueFacsimile No.: stating that no inheritance taxes are due E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : OR Plaintiff(s) Calendar No. : JUDICIAL SUBPOENA -against: ( ) A certificate from the Department of Revenue stating the amount of tax due, and a receipt from the County Treasurer stating that any inheritance tax due on the assets has been paid. : (Where appropriate, add a statement that cash in the amount of $____ was withheld in a contingency : fund for payment of inheritance tax, estate tax or income tax deficiencies.) Defendant(s) : . . . . . . . . . . . .7. . .This. .statement. .is. .filed. .for. the .purpose .of .closing. this. . . .. ..... . . . . . . . . . . . . . . . . . estate and terminating the appointment of the undersigned pursuant to M.C.A. 72-3-1004. THE PEOPLE OF THE STATE OF NEW YORK TO DATED this _ _ _ d a y o f ,20-. Name, Personal Representative GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court State ofMontana 1 at located County of :SS in room , on the day of , 20 , at o'clock in the noon, and at any recessed county of 1 or adjourned date, to testify and give evidence as a witness in this action on the part of the , Personal Representative for the estate of , personally appeared before me and acknowledged to me that he/she executed the same as such Personal Representative. Your and worn to before me this subpoena o punishable as a contempt of court and will make you liable to Subscribedfailure to comply with this _ _ d a y is f ,20-, the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, day of , 20 Notary Public for the State of Montana. Residing at , Montana. , one of the Justices of the My Commission expires (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com