STATE OF SOUTH CAROLINA COUNTY OF _____________________________ IN THE MATTER OF: ________________________________________ (Decedent) ) ) ) ) ) ) ) IN THE PROBATE COURT DEED OF DISTRIBUTION (Real Property Only) NOT A WARRANTY DEED CASE NUMBER: ____________________________________ The undersigned states as follows: Decedent died on ________________________; and probate of the Estate is being administered in the Probate Court for _______________________________________County, South Carolina, in File #_______________________________. I/We was/were appointed Personal Representative (s) on _________________________________. Decedent owned real property described as follows: Tax Map Number: __________________________________________________________________________________ Street/Property Address: ____________________________________________________________________________ Legal Description: __________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ Additional sheet(s) for additional property(ies) is attached (check if applicable) This transfer is made pursuant to: Decedent's Will Intestacy Statute: SCPC 62-2-103 Private Family Agreement: SCPC 62-3-912 Disclaimer by: ___________________________ Probate Court Order issued on _____________ Other: _________________________________ FORM #400ES (1/2016) 62-3-907, 62-3-908 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com In accordance with the laws of the State of South Carolina, the Personal Representative(s) does/do hereby release all of the Personal Representative's(s') right, title and interest, including statutory and/or testamentary powers, over the real property described to the beneficiaries named below: Name: Address: ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ Name: Address: ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ Name: Address: Name: Address: Additional sheet(s) for names of additional beneficiaries is attached (check, if applicable) IN WITNESS WHEREOF the undersigned, as Personal Representative(s) of the above Estate, has executed this Deed of Distribution, on this day of , 20 . SIGNED, SEALED AND DELIVERED IN THE PRESENCE OF: Witness: ____________________________ Print Name: __________________________ Witness : ____________________________ Print Name: ___________________________________ Print Name: __________________________ If applicable, Signature of Co-Personal Representative: ________________________________ Print Name: ___________________________________ STATE OF SOUTH CAROLINA ) ) ) Estate of: _____________________________________ Signature of Personal Representative: ________________________________ ACKNOWLEDGMENT COUNTY OF ________________ I, _________________________________, Notary Public, a notary for the State of South Carolina do hereby certify that _______________________________________________________________________, as Personal Representative(s) of the Estate of ___________________________________________________________, personally appeared before me this day and acknowledged the due execution of the foregoing Deed of Distribution. Witness my hand and seal this the day of ________________, 20 . _______________________________________ (SEAL) (Signature of Notary Public) _______________________________________ (Print name of Notary Public) Notary Public for State of ___________________ My Commission Expires: ___________________ Note: It is recommended that an attorney prepare this document and determine if a title examination is necessary. FORM #400ES (1/2016) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com