Statement Of Voluntary Administration Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Statement Of Voluntary Administration Form. This is a New Hampshire form and can be use in Probate Court Statewide.
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Tags: Statement Of Voluntary Administration, NHJB-2143-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)
STATEMENT OF VOLUNTARY ADMINISTRATION
ESTATE ASSETS AND INCOME
(List personal estate assets as reported on Voluntary Administration Affidavit and income earned
on estate assets.)
A.
B.
$
C.
1.
$
$
TOTAL ESTATE ASSETS AND INCOME
$
BILLS PAID FROM ESTATE ASSETS AND INCOME (List only expenses paid from estate assets reported on Voluntary
Administration Affidavit and income earned on estate assets.)
A.
Funeral expenses and last sickness
$
B.
Other bills paid such as debts, taxes and estate expenses
$
(List each specific bill and amount below.)
2.
TOTAL BILLS PAID FROM ESTATE ASSETS AND INCOME EARNED
$
3.
BALANCE IN HAND TO BE DISTRIBUTED TO LEGATEES OR HEIRS
ONLY AFTER RECEIVING THE COURT'S APPROVAL
$
, Voluntary Administrator of the estate, state the
I,
above is a true and accurate statement of my administration. 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
Voluntary Administrator 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
NHJB-2143-P (06/04/2008)
(formerly AOC 203-003)
Voluntary Administrator
Signature of Notarial Officer / Title
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Case Name: Estate of
Case Number:
STATEMENT OF VOLUNTARY ADMINISTRATION
ORDER
This statement is approved.
This statement is disapproved.
Date
NHJB-2143-P (06/04/2008)
(formerly AOC 203-003)
Judge
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