APPLICATIONFOR PROBATE AND LETTERS TESTAMENTARY OF ADMINISTRATION CTA AND ADDENDUM (AOC-E-309)Name, Street Address, City, State, And Zip Code Of Decedent NAMEAGERELATIONSHIPMAILING ADDRESS File No. In The General Court Of JusticeSuperior Court DivisionBefore The ClerkIN THE MATTER OF THE ESTATE OF I the unersine applin for proate an for letters in the aove estate ein rst ul sorn sa that The eceent as oicile in this count at the tie of the eceents eath or left propert or assets in this count or as a nonresient otorist ho ie in orth Carolina no other proceein for proate or for ainistration is penin in an urisiction The eceent left the paperritins purportin to e the eceents ast ill an Testaent an coicils ate as shon aove3. a. I a an eecutor evisee or leatee nae in the ill or a netofkin or creitor of the eceent. . I a the person entitle to appl for letters or a applin after all persons havin prior riht to appl have renounce. c. I a applin suect to G.S. an ove that all necessar notices e issue. d. I a the pulic adinistrator appointed the Court.. I a not disualied pursuant to G.S. to adinister the estate and have not renounced riht to do so.. olloin the eecution of the ill there ere no children orn to or adopted the decedent and the decedent did not thereafter arr or otain a divorce. (If the facts are otherwise, state them on an attachment.). fter dilient inuir I have deterined that the persons listed elo are all the persons entitled to share in the decedents estate. (If there is a court-appointed guardian for any such person(s), list the guardian222s name and address on an attachment.)Oriinal ile Cop pplicantreliinar Inventor On everse G.S. Date Of DeathName, Street Address, PO Box, City, State, And Zip Code Of ApplicantCounty Of Domicile At Time Of DeathDate Of Will And Codicil(s), If AnyPlace Of Death (if different from County Of Domicile)Name, Street Address, PO Box, City, State, And Zip Code Of Co-Applicant Legal Residence (County, State)Name, Street Address, PO Box, City, State, And Zip Code Of AttorneyLegal Residence (County, State)Attorney Bar No.Telephone No.Telephone No.Telephone No. STATE OF NORTH CAROLINA County AOC-E-201, Rev. 3/18 2018 Adinistrative Ofce of the Courts American LegalNet, Inc. www.FormsWorkFlow.com 1. Accounts in sole nae of decedent (List bank, etc., each account no., and balance.) 2. Joint accounts without right of survivorship (List bank, etc., each account no., balance, and joint owners.) 13. Estiated annual incoe of Estate 1. Is there a pending lasuit that involves the decedent Yes o 10. otes, udgents, and other dets due decedent 11. Miscellaneous personal property 12. Real estate illed to the Estate . Insurance, Retireent lans, IRAs, annuities, etc., payale to Estate 8. Interests in partnership or sole proprietor usinesses 7. Vehicles . ar products, livestock, euipent, and tools 5. Household furnishings 4. Cash and undeposited checks on hand 3. Stocks/onds/securities in sole nae of decedent or ointly oned without right of survivorship Oned By Decedent Oned By Decedent Oned By Decedent Oned By Decedent Oned By DecedentEst. Market Value$$ PART I. PROPERTY OF THE ESTATE $ (Base bond on this amount, if applicable.) TOTAL PART I. PRELIMINARY INVENTORY(Give values as of date of decedent222s death. Continue on separate attachment if necessary.) 1. Joint accounts ith right of survivorship (List bank, etc., each account no., balance, and joint owners.) 1. There is is not entireties real estate oned y decedent and spouse. 2. There are are not Insurance, Retireent lans, IRAs, annuities, etc., payale to naed eneciaries. 3. There is is not a potential clai for rongful death arising under G.S. 28A-18-2. 2. Stocks/onds/securities registered in eneciary for and iediately transferred on death or ointly oned ith right of survivorship 3. Other personal property recoverale G.S. 28A-15-10 4. Real estate oned y decedent and not listed elsehere$ $TOTAL PART II. PART II. PROPERTY WHICH CAN BE ADDED TO ESTATE IF NEEDED TO PAY CLAIMS PART III. OTHER PROPERTY Signature Of ApplicantSignature Of Co-ApplicantDate Commission ExpiresDate Commission ExpiresCounty Where NotarizedCounty Where NotarizedDateDateSignature Of Person Authorized To Administer OathsSignature Of Person Authorized To Administer Oaths Notary Notary Deputy CSC Deputy CSC Assistant CSC Assistant CSC Clerk Of Superior Court Clerk Of Superior CourtSWORN/AFFIRMED AND SUBSCRIBED TO BEFORE MESWORN/AFFIRMED AND SUBSCRIBED TO BEFORE MESEALSEAL AOC-E-201, Side Two, Rev. 3/18 2018 Adinistrative Ofce of the Courts American LegalNet, Inc. www.FormsWorkFlow.com