File No. (TYPE OR PRINT IN BLACK INK) STATE OF NORTH CAROLINA In The General Court Of Justice Superior Court Division Before the Clerk County IN THE MATTER OF THE ESTATE OF: Name And Address Of Decedent PETITION AND ORDER TO REOPEN ESTATE Date Final Account Filed G.S. 28A-23-5 PETITION TO REOPEN ESTATE The undersigned, pursuant to G.S. 28A-23-5, states that this estate has been settled and the personal representative discharged and for the following reason(s) petitions the Court to reopen the estate and appoint the person named below to serve as personal representative: New assets/other property of the estate have been discovered and must be listed below. (Specify exact assets to be handled) Necessary act(s) remain(s) unperformed by the Personal Representative. (State acts to be performed.) There are no unsatisfied creditors. There are no unsatisfied general monetary bequests. All assets of the estate have been distributed, other than potential Phase II payments by the National Tobacco Growers Settlement Trust. The estate should be reopened for the sole purpose of allowing the filing of a List of Phase II Distributees pursuant to G.S. 28A-21-3.1. Other proper causes as described herein. Name, Mailing Address, PO Box, City, State And Zip Code Of Person To Serve As Personal Representative Date Personal Representative Originally Qualified Signature Of Petitioner SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Signature Of Person Authorized To Administer Oaths Date Deputy CSC Assistant CSC Name, Mailing Address, PO Box, City, State And Zip Code Of Petitioner Clerk Of Superior Court Date Commission Expires Notary County Where Executed Telephone No. SEAL ORDER Upon consideration of the above, the undersigned Clerk hereby ORDERS that: 1. This estate be reopened for the reason(s) shown above. a. the above-named personal representative is reappointed, contingent upon executing bond, if applicable, and issuance of letters to serve. b. the above-named petitioner is appointed, contingent upon filing of application, oath, bond, if applicable, and issuance of letters to serve. c. the above-named personal representative is authorized to file the List of Phase II Distributees. d. Other: 2. This Petition is denied. Date Signature Assistant CSC Clerk Of Superior Court AOC-E-908M, Rev. 7/06 © 2006 Administrative Office of the Courts American LegalNet, Inc. www.FormsWorkflow.com