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Petition For Small Estate Administration Form. This is a New Hampshire form and can be use in Probate Court Statewide.
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Tags: Petition For Small Estate Administration, NHJB-2141-P, New Hampshire Statewide, Probate Court
THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Court Name:
Estate of
Case Name:
Case Number:
(if known)
PETITION FOR SMALL ESTATE ADMINISTRATION
Original
1.
Amended
Petitioner Name
Telephone
Mailing Address
2.
Petitioner Name
Telephone
Mailing Address
3.
Attorney Name
Telephone
Firm name
Mailing Address
4.
Bar ID#
Deceased Name
Date of Death
Residence (city or town)
5.
Deceased died:
with will
without will
6.
Petitioner was:
named
not named
7.
Petitioner’s relationship to deceased:
in will of the deceased.
Instructions for completing this section of the form. List only personal property such as cash, bank accounts, stocks, bonds, vehicles; no real estate
is allowed on a small estate administration (aka voluntary administration).
In the description of assets section, include specific identifying information such as: model, vehicle identification number, serial numbers, name of
bank and account numbers, certificate of deposit numbers, etc.
If this is an amended petition, list the new assets followed by the total value of the estate reported on the original petition.
ASSETS
DESCRIPTION OF ASSETS
VALUE
$
$
$
$
$
$
$
Total value of personal estate reported on
original petition (if this is amended petition)
TOTAL PERSONAL ESTATE – NOT TO EXCEED $10,000
NHJB-2141-P (06/04/2008)
(formerly AOC 148-003)
$
Descriptions listed on previous petition(s).
Page 1 of 2
$
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Case Name: Estate of
Case Number:
PETITION FOR SMALL ESTATE ADMINISTRATION
Petitioner asks to serve as voluntary administrator of such estate and will administer the same
according to law. 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
Petitioner Signature (must be signed in presence of notarial officer)
Date
Petitioner Signature (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
Petitioners
Signature of Notarial Officer / Title
ORDER
The voluntary administrator's authority to administer is expressly limited only to asset(s) listed on this
form. Out of the assets collected, the voluntary administrator shall pay debts and expenses of the
estate in accordance with RSA 167:13, 554:19 or 557:34 as applicable, and shall take no fees for
his/her services.
A statement of administration must be filed no earlier than 60 days, nor later than 90 days, from the
administrator's appointment. If an amended petition is filed, the original due dates are applicable. No
distribution of the final balance shall be made until the statement is approved by the court. Any
distribution should be according to the will of the deceased, if any, or if no will, in accordance with
RSA 561.
If letters testamentary or of administration are later granted, the voluntary administrator's power shall
cease, and he/she shall deliver to the rightful executor or administrator all assets and funds of the
estate in his/her possession, and file a statement of administration with the court.
Petition for Small Estate Administration is granted.
Petition for Small Estate Administration is denied.
Date
NHJB-2141-P (06/04/2008)
(formerly AOC 148-003)
Judge
Page 2 of 2
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