ND PROBATE CODE FORM 13 Page 1 10/01/03 PERSONAL REPRESENTATIVE'S ASSIGNMENT. (N.D.C.C. 30.1-18-03). Name, Address, and Telephone No. of Attorney Space below for use of District Court only Probate No. _____________ Attorney ___________________ for: IN THE DISTRICT COURT OF __________________________________ COUNTY, STATE OF NORTH DAKOTA In the Matter of the Estate of ________________________________________________________________, Deceased. PERSONAL REPRESENTATIVE'S ASSIGNMENT THIS INDENTURE, made this ____________________________ day of ______________________________, ________, by and between _______________________________________________________________________________________, personal representative _______________________, of the Estate of ____________________________________________, deceased, hereinafter referred to as Assignor, whether one or more, and ___________________________________________, whose post office address is _____________________________________________________________________________, hereinafter referred to as Assignee, whether one or more, WITNESSETH: WHEREAS, Assignor is the duly appointed and acting personal representative of the Estate of _____________________ _________________________________________________________________________________________, deceased, and WHEREAS, Assignee is entitled to distribution of certain personal property hereinafter described from the Estate of the decedent, NOW, THEREFORE, Assignor does assign, transfer, release and distribute to Assignee the following: Page 1 of NDPC FORM 13 American LegalNet, Inc. www.FormsWorkflow.com ND PROBATE CODE FORM 13 Page 2 10/01/03 PERSONAL REPRESENTATIVE'S ASSIGNMENT. (N.D.C.C. 30.1-18-03). WITNESS, the hand of the Assignor: _____________________________________________ _____________________________________________ Personal Representative ____________________ of the Estate of _____________________________________, Deceased STATE OF NORTH DAKOTA } } County of ____________________ } ss. The foregoing instrument was acknowledged before me this __________________________________________, day of ____________________________________, ________, by ___________________________________________________, personal representative______ of the estate of ______________________________________________________, deceased. ____________________________________________ Notary Public _________________________, County, North Dakota (Seal) My commission expires:_________________________ Page 2of NDPC FORM 13 American LegalNet, Inc. www.FormsWorkflow.com