THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Estate of Case Number: (if known) MOTION FOR SUMMARY ADMINISTRATION Executor/Administrator Name Telephone Mailing Address Executor/Administrator Name Telephone Mailing Address 1. The estate of the decedent has been open for at least 6 months. 2. To the best of my knowledge and belief, there are no outstanding debts, obligations or unpaid or Yes No unresolved claims attributable to the deceased’s estate. 3. No New Hampshire estate or inheritance taxes are due; OR all applicable New Hampshire estate and inheritance taxes have been paid and a certificate from the department of revenue Yes No administration under RSA 86:32 and/or 87:25 has been filed with the court. 4. No federal estate tax is due; OR the federal estate tax return has been filed and all taxes reported thereon have been paid. Yes No 5. Court supervision of the administration of the estate is no longer necessary. Yes No 6. The administration of the estate will be completed without further court supervision in accordance with the decedent’s will and applicable law. Yes No 7. Yes Attached are either receipts or assents from all specific legatees, and assents from all other persons beneficially interested, as defined in RSA 550:12. Yes No No I certify that a copy of this document has been provided to the parties who have filed an appearance for this case or who are otherwise interested parties. Date Executor / Administrator (must be signed in presence of notarial officer) Date Executor / Administrator (must be signed in presence of notarial officer) State of , County of This instrument was acknowledged before me on by Date My Commission Expires Affix Seal, if any Executor/Administrator(s) Signature of Notarial Officer / Title ORDER Motion for summary administration is granted. Motion for summary administration is denied. Date NHJB-2149-P (06/04/2008) (formerly AOC 234-003) Judge page 1 of 1 American LegalNet, Inc. www.FormsWorkflow.com