STATE OF NORTH CAROLINA County IN THE MATTER OF THE ADMINISTRATION OF A TRUST Under The Last Will And Testament Of File No. In The General Court Of Justice Superior Court Division Before The Clerk Title Of Trust, If Named In The Will Not Applicable APPLICATION FOR LETTERS OF TRUSTEESHIP UNDER WILL G.S. 36C-2-209 Estate File No. And County Of Probate Name And Address Of Applicant 1 Name And Address Of Applicant 2 Telephone Number Telephone Number Name And Address Of Attorney Attorney Bar No. Telephone Number I, the undersigned, applying for letters of trusteeship in the above estate, being first duly sworn, say that: 1. The Last Will and Testament of the deceased has been admitted to probate and recorded, and the applicant is entitled to administer the trust estate created by such will and/or codicil; 2. I am not disqualified under the provisions of G.S. 28A-4-2 to administer this trust and have not renounced my right to do so; 3. As near as can be determined at the present time, the value of the real estate, the personal property and the average annual income from all the property is as follows: Value Of Real Estate Value Of Personal Property Total Average Annual Income $ $ $ 4. The names, dates of birth and addresses of the beneficiaries of this trust estate are as follows: NAME DATE OF BIRTH ADDRESS Signature Of Applicant 1 Signature Of Applicant 2 SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Date Date Signature Of Person Authorized To Administer Oaths Signature Of Person Authorized To Administer Oaths Deputy CSC Assistant CSC Clerk Of Superior Court Date My Commission Expires Deputy CSC Assistant CSC Date My Commission Expires Clerk Of Superior Court Notary County Where Notarized County Where Notarized Notary SEAL AOC-E-205, Rev. 4/11 © 2011 Administrative Office of the Courts SEAL American LegalNet, Inc. www.FormsWorkFlow.com