STATE OF SOUTH CAROLINA COUNTY OF: _______________________________ IN THE MATTER OF: __________________________________________ (Decedent) *ONLY COMPLETE THIS SECTION IF FILING PETITION FOR SUBSEQUENT ADMINISTRATION *________________________________________ Petitioner(s) vs. *________________________________________ Respondent(s) ) ) ) ) ) ) ) ) IN THE PROBATE COURT APPLICATION/*PETITION FOR SUCCESSOR PERSONAL REPRESENTATIVE CASE NUMBER: _________________________________ INFORMAL *FORMAL The previous/original application/petition is adopted, unless noted on the amended FORM 300ES attached hereto. The name(s) and address(es) of the most recent duly qualified and acting Personal Representative(s) for this estate is/ was: __________________________________________________________________________________________ ______________________________________________________________________________________________ If not previously filed with the Court, a copy of the above Personal Representative's death certificate, resignation or termination of appointment is attached. The name(s) and address(es) of the proposed Successor Personal Representative(s) is/are: _____________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Priority for appointment of the Successor Personal Representative is: named as Primary Personal Representative in Will named as Alternate Personal Representative in Will nominee of above Primary Personal Representative in Will nominee of above Alternate Personal Representative in Will surviving spouse of Decedent who is devisee of Decedent or nominee of said spouse other devisee of Decedent (describe): ______________________________________or nominee of said devisee surviving spouse of Decedent or nominee of said spouse other heir of Decedent (describe): _____________________________________________or nominee of said heir creditor (Forty-five (45) days after death must have passed) or nominee of creditor; written statement of claim, Form #371ES, is attached other (describe): ___________________________________________________________________________ ____________________________________________________________________________________________ *NOTE: IF THIS IS A FORMAL PROCEEDING, IN ADDITION TO A PETITION, YOU MUST ALSO FILE A SUMMONS (FORM SCCA 401PC) AND PAY THE STATUTORY FILING FEE OF $150.00. A HEARING IN THE PROBATE COURT ON THE PETITION MAY BE REQUIRED. FORM #333ES (1/2016) 62-3-203, 62-3-301, 62-3-613 Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com _________________________________________________________________________________________________ VERIFICATION The undersigned, being sworn, states that the facts set forth in the foregoing statements are true to the best of the undersigned's knowledge, information and belief; and hereby submits to the Court's jurisdiction in this matter. SWORN to before me this day of Signature: Print Name: Address: , 20 Notary Public for South Carolina My Commission Expires: Telephone (Work): (Home): (Cell): Email: Relationship to Decedent/Estate: _________________________________________________________________________________________________ ORDER FOR HEARING IT IS HEREBY ORDERED that a hearing on this matter be set for: DATE: TIME: PLACE: Pursuant to SCPC 62-1-401, Petitioner is ordered to give notice of this hearing to all interested persons at least twenty (20) days prior to the hearing. Executed this _____ day of__________20______. , Probate Court Judge ORDER OF APPOINTMENT IT IS HEREBY ORDERED that the above application/petition for Successor Personal Representative be GRANTED DENIED and Fiduciary Bond in the amount of $____________________________________________ Bond not required for Personal Representative nominated by Will Bond not required as Personal Representative is sole heir or sole devisee Bond not required as Personal Representative is state agency, bank, or trust company Bond waivers filed See order dated __________________________________________________________ Other: _____________________________________________________________________________________ _____________________________________________________________________________________________ Executed this _____ day of__________20______. , Probate Court Judge FORM #333ES (1/2016) Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com _________________________________________________________________________________________________ QUALIFICATION AND STATEMENT OF ACCEPTANCE I accept this appointment and agree to perform the duties and discharge the trust of the office of Successor Personal Representative of this estate and hereby submit to the Court's jurisdiction in this matter. Signature: Print Name: Address: Telephone (Work): (Home): (Cell): Email: Attorney: Address: Telephone: Email: FORM #333ES (1/2016) Page 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com