Letters Testamentary – Full Estate with a Will

Fees – $120.00 to open Estates Division

Wake County Clerk of Court $varies to publish Notice in newspaper

PO Box 351, Raleigh, NC 27602 $15.00‐$6,000.00* for Inventory 316 Fayetteville St, Raleigh, NC 27601 $15.00‐$6,000.00* for each Accounting O 919-792-4450 * Fee is calculated at $4.00 per $1,000.00 of assets, minimum of $15.00, F 919-792-4462 maximum of $6,000.00 This filing is often used when: 1. The decedent’s assets exceed $20,000 plus any spousal/minor allowance available LETTERS TESTAMENTARY – 2. The decedent left real estate** FULL ESTATE WITH A WILL 3. Wrongful Death action This self‐help packet contains instructions for obtaining Letters Testamentary for ** There are many ways to handle real estate, be sure to research all options or decedents who left a Last Will and Testament. Other estate options may be available. consult an attorney. Other common ways to handle real estate include: If you have questions about alternative estate processes, you may choose to consult ‐ Simply probate the will without qualifying (Form No. AOC‐E‐199) an attorney. ‐ Qualify as a Limited Personal Representative. (See packet)

When beginning the estate administration process, the first step is to determine whether the deceased person had a Last Will and Testament and gather all the necessary information about the deceased person’s family and assets. Next, review the Estates Procedures Brochure (Form No. AOC‐E‐850) which will help you to answer many questions about how to proceed, including what type of estate to open. The following packet is directed towards those who determine the decedent has a will and Regular Administration (Letters Testamentary) is necessary. Finally, determine the appropriate county for filing. The appropriate county in which to open this estate will depend on the decedent’s “domicile.” Verify that the decedent was domiciled in WAKE COUNTY at the time of his or her death prior to initiating proceedings with the Wake County Clerk of Court. Submitting your Filing If you prefer to mail in qualifications they are responded to within 2 business days of receipt by this office.

Wake County Clerk of Court Estates Division, Attn: QUALIFICATION PO Box 351 Raleigh, NC 27602‐0351

Appointments are recommended to reduce wait times. If you prefer to meet with a deputy clerk, you may make an appointment online at https://wakeestates.simplybook.me. For a successful visit:  The applicant will need to bring their current Driver License or government‐issued photo ID.  Parking in this area is either in a deck or on the street, and a fee will be incurred. We do not validate parking tickets. You will need to pay for at least 2 hours of parking.  Allot enough time to find parking and navigate your way to and through the courthouse,  Appointments are for 1 hour each.

The AOC forms referenced below may also be found by accessing http://www.nccourts.gov. Click the “Forms” link, and search by form number, title, and/or the Estates category. You may also send a blank email to [email protected] for an auto‐response containing fillable PDFs of these forms as well as other self‐help packets. Thank you, in advance, for gathering the requested information and preparing your forms with diligence and accuracy. We strive to make the Estates process as seamless as possible, and we look forward to serving you.

*This has been prepared to assist you in beginning an estate when a decedent was a resident of Wake County at the time of their death. Each estate is unique, and additional information may be required. This is a legal procedure governed by the laws of North Carolina, which prohibits the Clerk of Superior Court and his or her employees from acting as your attorney or providing any legal advice, so you may choose to retain legal counsel. If you have questions beyond what is covered in this packet, consult an attorney.*

Revised 1/2/2019 *PRINT AND SUBMIT THIS COVER SHEET WITH YOUR FILING*

PROB Decedent’s Information DECEDENT FIRST NAME:

DECEDENT LAST NAME:

Applicant’s Information APPLICANT’S NAME:

PHONE NUMBER:

EMAIL:

Review Before Submitting Decedent was domiciled in Wake County  Yes  No  Yes, $120.00 for Application for Letters  Yes, $8.00 for Year’s Allowance Have you included appropriate fees? Check all that apply.  $1.00 for each extra Letter requested  No Have you signed all paperwork?  Yes  No

Is your signature notarized?  Yes  No

CHECKLIST of Forms and Documents Required: * Sign forms before a notary or witness where required. Fill out all forms COMPLETELY.  Death certificate (copy or original)  Last Will and Testament, the ORIGINAL DOCUMENT is required  Separation agreement, if decedent was separated but not divorced  Family Tree form (Form No. Wake‐E‐002)  Fiduciary Questionnaire (Form No. Wake‐E‐001)  Application for Letters Testamentary (Form No. AOC‐E‐201, Instructions) . Full names, correct addresses, and exact ages of ALL beneficiaries named in the will required. List deceased beneficiaries, and indicate date of death.  Oath (Form No. AOC‐E‐400)  Required court fee of $120.00 payable by cash, certified funds, credit/debit card, or attorney trust or firm check **Note: No personal checks will be accepted, and a processing fee will be charged for the use of a credit/debit card. Credit/Debit card payments can only be made in person.  Self‐Addressed, Stamped Envelope so we can mail your letters to you Additional Forms that might be needed depending on your specific situation: *Consult the Estate Procedures Brochure to determine whether these apply to you.  Renunciation of Right to Qualify for Letters (Form No. AOC‐E‐200) Required if the person applying for Letters is not the named executor and/or first living person in line to serve as personal representative (the person with priority statutory standing as explained in the Estates Procedure Brochure). For example, if you are one of multiple children of the decedent, your other siblings and any surviving spouse of the decedent will need to complete this form.  Appointment of Resident Process Agent (Form No. AOC‐E‐500) Required if person applying to be Administrator lives out of state.  Application and Assignment of Year’s Allowance (Form No. AOC‐E‐100) An application for a year’s allowance for the surviving spouse and/or dependent child(ren) may be filed with the clerk at any time within one (1) year of the decedent’s death. It is not required. If submitting an Application of Year’s Allowance, you must type the full year, make, model, and VIN# for any vehicles on the application, provide a copy of the title or current registration card, and prove the value of the vehicle (i.e. most recent tax bill, NADA, Kelley Blue Book, etc.), and use the name of the Decedent exactly as it appears on the title and the name of the Spouse exactly as it appears on his/her Driver License. **There is an additional $8.00 fee for this Application.  Waiver of Bond (Form No. AOC‐E‐404) or Bond (Form No. AOC‐E‐401) . This may be required if the Will requires bond or if the person applying is not named as Executor in the Will. (Note that if someone other than the named Executor is applying, you should mark Administrator CTA rather than Testamentary on the top of the Application.) . If all heirs/beneficiaries agree to waive the bond, they should complete the Waiver of Bond. If all heirs/beneficiaries do not complete a Waiver of Bond, a Bond will be required. . The Bond cannot be waived if the applicant is not a North Carolina resident or if any heirs/beneficiaries are minors or adjudicated incompetent adults.  Addendum to Application for Probate of Out‐of‐State Will or Codicil (Form No. AOC‐E‐309) This is required when the will presented for probate is an out of state will that does not meet North Carolina’s requirements for probate but that does comply with the requirements of the state in which it was signed.

Next Steps This filing requires several follow‐up actions with our office, including the following (you will receive a detailed checklist once you qualify): 1. After we receive your Application, we will respond to you with any questions we have. 2. If your Application is approved, we will return 5 Letters to you in the envelope you provide. If you need more than 5, request additional Letters in writing, specify the number needed, and provide $1.00 for each additional affidavit requested. 3. The Letters evidence your authority as Executor. Take them to the bank, DMV, etc. to collect the decedent’s assets and administer the estate. 4. IMMEDIATELY – Publish Notice to Creditors in appropriate newspaper (not required if estate was opened SOLELY for purposes of wrongful death action and there are no other assets). 5. 75 DAYS – Send a copy of the published notice to all known creditors of the decedent within 75 days of qualification. 6. 90 DAYS – File the following with the Clerk’s office within 3 months of qualification: a. Inventory (Form No. AOC‐E‐505) and Fee, b. Signature Cards for any Joint with Right of Survivorship and Payable/Transfer on Death accounts c. Funeral Bill marked “Paid in Full” d. Publisher’s Affidavit (to be provided to you by the newspaper), and e. Affidavit of Notice to Creditors (Form No. AOC‐E‐307) 7. Review the Estates File for creditors’ claims. Creditors often mail them to us rather than the Executor. 8. 1 YEAR – File Final Accounting (Form No. AOC‐E‐506) and Fee within 1 year of qualification. If you are not ready to close the estate within a year, you must instead file an Annual Accounting (same form) and explain in writing why the estate needs to remain open. **If you are unable to meet the deadlines for filing the Inventory or Accounting, you may request an extension of time by submitting a Motion to Extend Time (Form No. AOC‐E‐515). FAQs, Information, and Documents helpful when completing this application - Titles, recent tax bills, or registration cards for vehicles, trailers, mobile homes, etc. titled in decedent’s name, including jointly owned titles, and any lien amount, if applicable. When listing vehicles or assets with titles, keep in mind the following: o You can find the value of the vehicle from the most recent tax bill, NADA, Kelley Blue Book, etc. If the standard value is not accurate due to some abnormal issue with the car (ex: salvage title, water damage, etc.), the value might be less. o If there is a loan against the vehicle, list the amount of equity on the application and provide a statement showing the payoff balance as of date of death. (Equity is the total value of the vehicle minus the amount owed.) o If the vehicle was jointly owned by the decedent and the applicant, only list the share (usually half) of the value that belonged to the decedent on the application. - Most recent statements for Bank/Brokerage/Mutual Fund Accounts in the name of the deceased, including any joint accounts. - Copies of signature cards for any joint bank accounts or beneficiary designated accounts. These can be obtained by the joint owner or beneficiary from the financial institution. - If decedent owned stocks or bonds, not held in a brokerage account, review certificates or bonds and the date of death value of each. - Deeds for any real estate, along with a recent property tax statement to verify tax value - Mortgage balance information - An itemized funeral bill showing that it has been paid or a current statement that indicates how much is still owed. File No. STATE OF NORTH CAROLINA In The General Court Of Justice County Superior Court Division Name Of Estate/Guardianship/Trust FIDUCIARY QUESTIONNAIRE

Full name of applicant: ______

List ALL names and aliases you have ever used:

Date of Birth:

What is your relationship to the Decedent/Ward/Minor?

Have you ever been convicted of a crime (felony or misdemeanor)? □ YES □ NO If YES, list ALL conviction(s) in North Carolina and other States below: □ Misdemeanor □ Felony □ Misdemeanor □ Felony

Do you currently have any pending criminal charges (felony or misdemeanor)? □ YES □ NO If YES, list ALL pending charges in North Carolina and other States below: □ Misdemeanor □ Felony □ Misdemeanor □ Felony NOTE: We may do a background check. Failure to fully disclose and convictions will result in denial or removal as fiduciary. Pursuant to N.C.G.S 28A-4-2(3); 35A-1214, a person convicted of a felony and whose rights have not been restored cannot be appointed or serve as a fiduciary. Do you consent to a criminal background check in other States where you have lived? □ YES □ NO

List ALL previous States in which you have resided:

Have you ever filed for bankruptcy? □ YES □ NO If YES, provide year of bankruptcy: ______

If a Surety Bond is required, are you able to be bonded? □ YES □ NO Pursuant to N.C.G.S. 28A-8-1, -1.1, -2, -3; 35A-1231, Bonds are required for Administrators residing outside of North Carolina, Estate Administrations in which the heirs are minors or have not waived the personal representative's bond, and Guardians of the Estate or General Guardians.

By signing below I swear/affirm that the foregoing information is true and accurate to the best of knowledge. I understand that if I fail to report any criminal convictions or pending charges, I may not be appointed as the fiduciary for this estate/guardianship/trust. Signature of Applicant Date Signature of Witness Date

Please use attachment to list additional information Wake CSC (Rev. 4/15) Family Tree

Complete the Family Tree below. If any of the individuals listed below have predeceased the decent, provide a list of their children, and grandchildren if necessary, on a separate page. No. Mother (Deceased? □) Father (Deceased? □) File

Decedent Spouse (Deceased? □ )

Child 1 (Deceased? □ ) Child 2 (Deceased? □ ) Child 3 (Deceased? □ ) Child 4 (Deceased? □ )

Grandchild (Deceased? □) Grandchild (Deceased? □ ) Grandchild (Deceased? □ ) Grandchild (Deceased? □ )

Grandchild (Deceased? □ ) Grandchild (Deceased? □ ) Grandchild (Deceased? □ ) Grandchild (Deceased? □ )

Complete the Following Section If Decedent Died With No Children/Issues.

Sibling 1 (Deceased? □ ) Sibling 2 (Deceased? □ ) Sibling 3 (Deceased? □ ) Sibling 4 (Deceased? □ )

Niece/Nephew (Deceased? □ ) Niece/Nephew (Deceased? □ ) Niece/Nephew (Deceased? □ ) Niece/Nephew (Deceased? □ )

By Signing Below I Do Hereby Attest That The Above Is A True And Accurate Family Tree, To The Best Of My Knowledge.

Date Signature of Fiduciary 1 Date Signature of Fiduciary 2 INSTRUCTIONS FOR PRELIMINARY INVENTORY ON SIDE TWO OF APPLICATION FOR PROBATE AND LETTERS, FORM AOC-E-201, REV. 4/11

THE CLERK IS THE JUDGE OF PROBATE AND CANNOT PRACTICE LAW OR GIVE LEGAL ADVICE. ACCORDINGLY, THE CLERK'S STAFF CANNOT HELP YOU FILL OUT THIS FORM. PARTS OF THIS FORM ARE SELF-EXPLANATORY. HOWEVER, FOR ANY NECESSARY ASSISTANCE, YOU SHOULD CONSULT AN ATTORNEY. Application For Probate And Letters Testamentary Or Letters Of Administration CTA, Form AOC-E-201, Rev. 4/08 If the decedent left a will, the person named as executor in the will may qualify by applying to the Clerk of Superior Court using this form. Side two of this form contains a preliminary listing of the assets of the estate. This part of the form is intended as a preliminary report to the clerk, heirs and creditors of the nature and probable value of the property, real and personal, wherever located, owned by the decedent as of the date of death.

General Instructions:

Type or print neatly in black ink.

All values reported should be the fair market value of the item as of the date of death. If there is not sufficient space on the form, continue on a separate attachment.

Except where instructed to itemize, you should report in a lump sum the estimated total value of all property in each category. A complete itemization and valuation of decedent's property must be listed on the Inventory Form (AOC-E-505) and filed with the clerk within three months after qualifying.

l "Account" includes accounts in banks, savings and loans and other financial institutions, including money market accounts with brokerage houses or similar institutions. l "Joint Account With Right Of Survivorship" is an account in the name of two or more persons in which the deposit agreement (1) is signed by all parties and (2) expressly provides that, upon the death of one of the joint depositors, the interest of the decedent passes to the survivor(s). Any joint account which is not "with right of survivorship" is a joint account without right of survivorship. l "Stocks Or Bonds With Right Of Survivorship" are securities in which the certificate clearly states that upon the death of one of the joint owners the interest of the decedent passes to the survivor(s). Any jointly owned security which is not owned "with right of survivorship," is owned without right of survivorship. l "Securities Registered In Beneficiary Form" means stocks, bonds, or other securities officially registered with the issuer of the security indicating the current owner of the security and the person who will automatically become the new owner of the security upon the death of the owner." (See G.S. 41-40 et. seq.) PART I. PROPERTY OF THE ESTATE 1. Deposits In Sole Name Of Decedent - For each account, list the name of the institution, the account number and the balance on the date of death. 2. Joint Accounts Without Right Of Survivorship - For each account, list the name of the institution, the account number, and the name(s) of the other joint owner(s). If the percentage owned by the decedent can be determined, report that percentage and the value of that percentage on deposit on the date of death. If the percentage owned by the decedent is unclear, report the percentage as 100%, and list the total amount on deposit on the date of death. A copy of the signature card or depository contract should be attached either to this form or the inventory (AOC-E-505.) 3. Stocks And Bonds In Sole Name Of Decedent Or Jointly Owned Without Right Of Survivorship - If the percentage owned by the decedent can be determined, report that percentage and the value, in a lump sum, of that percentage. If the percentage owned is unclear, report the percentage as 100%, and list the total value, in a lump sum, of all such stocks and bonds. A detailed itemization of these assets must be reported in the Inventory (AOC-E-505). 4. through 7. These categories should be self-explanatory. 8. Interest in Partnership Or Sole Proprietor Businesses - Report all solely owned business interest and all partnerships in which the decedent was a general or limited partner. List the name of the business or partnership, the names of the surviving partners, the decedent's percentage interest in that partnership, and the value of that partnership interest or business. 9. through 11. These categories should be self-explanatory. 12. Real Estate Willed To The Estate - (NOTE: Real property willed to any person or entity other than the estate must be reported in Part II, Item 4) List only real estate which the decedent devised (willed) to the estate or to the executor in the capacity as executor (not as an individual). Usually, such a devise is accompanied by a direction to sell the real estate and distribute the proceeds as specified in the will. 13. Estimated Annual Income Of The Estate - Income of the estate includes, for example, interest on checking and other accounts opened in the name of the estate, dividends and interest on stocks and bonds owned in the name of the estate, and other income to the estate. Income of the estate does not include interest on accounts, or dividends or interest on stocks or bonds, which pass directly to a surviving joint owner.

This part of the form is used to list certain kinds of property which the decedent owned or in which the decedent had an interest during his or her life time, which are not ordinarily part of the estate, but which may be recovered by the personal representative if the assets of the estate are not sufficient to pay all the debts of the decedent and claims against the estate. (NOTE: The personal representative should NOT receive or disburse any personal property in this category prior to meeting all statutory requirements for bond or bond increases.) 1. Joint Accounts With Right Of Survivorship Under G.S. 41-2.1 - List all joint accounts with right of survivorship. For each account, list the name of the financial institution, the account number, the names of the other joint owners, and the total balance on the date of death. Attach a copy of the signature card or depository contract for each such account to this form or to your Inventory (AOC-E-505.) 2. Stocks/ Bonds/Securities Registered In Beneficiary Form or Jointly Owned With Right Of Survivorship - A lump sum total of the value of all such stocks or bonds should be reported here. A detailed itemization of these assets must be reported in the Inventory (AOC-E-505). It also includes securities registered in beneficiary form and automatically transferred on death. 3. Other Personal Property Recoverable Under G.S. 28A-15-10 - This category includes accounts which are called "Payable On Death or Trustee Accounts" in the signature card or deposit agreement or in which the decedent otherwise established a "Tentative" or "Totten" trust. It also includes property which the decedent gave to someone in contemplation of the decedent's own death, and property transferred by the decedent, without receiving adequate consideration, with the intent to hinder, delay or defraud the decedent's creditors. If you believe there may be any property which falls into these latter categories, you may wish to consult an attorney.

4. Real Estate Owned By The Decedent And Not Listed Elsewhere - (NOTE: Real estate owned by the decedent and spouse as tenants by the entireties should be reported in Part III. Do not report real estate in which the decedent had an interest only for his or her lifetime.) All other interests in real estate owned by the decedent should be reported here in a lump sum using fair market values as of date of death. A more detailed listing and identification of the properties should be made in the Inventory (AOC-E-505). PART III. OTHER PROPERTY

This part of the form is used to indicate certain property, rights and claims which are not administered by the personal representative as part of the decedent's estate and which the personal representative can not generally recover to pay debts of the decedent or claims against the estate. However, this property may be included in the value of the "estate" for federal or state estate and inheritance tax purposes, or which are listed for the information of heirs and others to whom the property may pass.

1. Entireties Real Estate - Indicate whether or not there is real estate jointly owned by the decedent and his or her surviving spouse as tenants by the entireties. 2. Insurance, Retirement Plan, IRA, Annuities, Etc., Payable To Persons Other Than the Estate - This category includes all life insurance proceeds, death benefits under pension and retirement plans, the balance remaining in IRA, annuities, 401(k) and other similar accounts which, at the death of the decedent, pass to a beneficiary other than the estate. 3. Claim For Wrongful Death - This category is for cases in which the death of the decedent was caused by the wrongful act, neglect or default of another, who may be liable in action for damages brought by the personal representative. The potential existence of a claim for damages should be reported here. [ NOTE: (a) The personal representative should NOT receive or disburse wrongful death proceeds prior to meeting all statutory requirements for bond or bond increases. (b) Any recovery is not subject to the claims of creditors except for burial expenses of the decedent, reasonable hospital and medical expenses incident to the injury resulting in death and not totalling over $4,500 (but not over 50%) of the damages recovered after deducting attorneys fees, and Medicaid claims. (c) The proceeds of the recovery must be distributed by the personal representative in accordance with the Intestate Succession Act, regardless of the existence or terms of any will. (d) Except for payment of the expenses expressly allowed by statute, the personal representative must not comingle wrongful death proceeds with assets of the estate. The personal representative must file a separate accounting with the clerk of superior court regarding any and all wrongful death proceeds. If you believe there may be a wrongful death claim, consult an attorney. ]

SIGNATURE - All applicants must sign. The signature of each must be separately notarized before a notary public or acknowledged before the clerk, assistant, or deputy.

AOC-E-201 Instructions, Side Two, Rev. 4/11 © 2011 Administrative Office of the Courts File No. STATE OF NORTH CAROLINA In The General Court Of Justice County Superior Court Division Before The Clerk IN THE MATTER OF THE ESTATE OF Name, Street Address, City, State, And Zip Code Of Decedent APPLICATION FOR PROBATE AND LETTERS TESTAMENTARY OF ADMINISTRATION CTA AND ADDENDUM (AOC-E-309) County Of Domicile At Time Of Death G.S. 28A-2A-1, -2, -5; 28A-6-1; 28A-12-4 Date Of Death Date Of Will And Codicil(s), If Any Place Of Death (if different from County Of Domicile)

Name, Street Address, PO Box, City, State, And Zip Code Of Applicant Name, Street Address, PO Box, City, State, And Zip Code Of Co-Applicant

Telephone No. Telephone No.

Legal Residence (County, State) Legal Residence (County, State)

Name, Street Address, PO Box, City, State, And Zip Code Of Attorney Attorney Bar No.

Telephone No.

I, the undersigned, applying for probate and for letters in the above estate, being first duly sworn, say that: 1. The decedent was domiciled in this county at the time of the decedent’s death, or left property or assets in this county, or was a nonresident motorist who died in North Carolina; no other proceeding for probate or for administration is pending in any jurisdiction.

2. The decedent left the paper-writing(s) purporting to be the decedent’s Last Will and Testament and codicil(s), dated as shown above. 3. a. I am an executor, devisee, or legatee named in the will, or a next-of-kin or creditor of the decedent. b. I am the person entitled to apply for letters or am applying after all persons having prior right to apply have renounced. c. I am applying subject to G.S. 28A-6-2(1) and move that all necessary notices be issued. d. I am the public administrator appointed by the Court. 4. I am not disqualified pursuant to G.S. 28A-4-2 to administer the estate and have not renounced my right to do so. 5. Following the execution of the will there were no children born to or adopted by the decedent, and the decedent did not thereafter marry or obtain a divorce. (If the facts are otherwise, state them on an attachment.) 6. After diligent inquiry, I have determined that the persons listed below are all the persons entitled to share in the decedent’s estate. (If there is a court-appointed guardian for any such person(s), list the guardian’s name and address on an attachment.) NAME AGE RELATIONSHIP MAILING ADDRESS

Original - File Copy - Applicant (Preliminary Inventory On Reverse) AOC-E-201, Rev. 3/18 © 2018 Administrative Office of the Courts PRELIMINARY INVENTORY (Give values as of date of decedent’s death. Continue on separate attachment if necessary.) PART I. PROPERTY OF THE ESTATE 1. Accounts in sole name of decedent (List bank, etc., each account no., and balance.) Est. Market Value $

2. Joint accounts without right of survivorship (List bank, etc., each account no., balance, and joint owners.) % Owned By Decedent % Owned By Decedent % Owned By Decedent % Owned By Decedent 3. Stocks/bonds/securities in sole name of decedent or jointly owned without right of survivorship % Owned By Decedent 4. Cash and undeposited checks on hand 5. Household furnishings 6. Farm products, livestock, equipment, and tools 7. Vehicles 8. Interests in partnership or sole proprietor businesses 9. Insurance, Retirement Plans, IRAs, annuities, etc., payable to Estate 10. Notes, judgments, and other debts due decedent 11. Miscellaneous personal property 12. Real estate willed to the Estate $ 13. Estimated annual income of Estate 14. Is there a pending lawsuit that involves the decedent? Yes No (Base bond on this amount, if applicable.) TOTAL PART I. $ PART II. PROPERTY WHICH CAN BE ADDED TO ESTATE IF NEEDED TO PAY CLAIMS 1. Joint accounts with right of survivorship (List bank, etc., each account no., balance, and joint owners.) $

2. Stocks/bonds/securities registered in beneficiary form and immediately transferred on death or jointly owned with right of survivorship 3. Other personal property recoverable (G.S. 28A-15-10) 4. Real estate owned by decedent and not listed elsewhere TOTAL PART II. $ PART III. OTHER PROPERTY 1. There is is not entireties real estate owned by decedent and spouse. 2. There are are not Insurance, Retirement Plans, IRAs, annuities, etc., payable to named beneficiaries. 3. There is is not a potential claim for wrongful death arising under G.S. 28A-18-2. Signature Of Applicant Signature Of Co-Applicant

SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Date Signature Of Person Authorized To Administer Oaths Date Signature Of Person Authorized To Administer Oaths

Deputy CSC Assistant CSC Clerk Of Superior Court Deputy CSC Assistant CSC Clerk Of Superior Court Date Commission Expires Date Commission Expires Notary Notary

County Where Notarized County Where Notarized SEAL SEAL

AOC-E-201, Side Two, Rev. 3/18 © 2018 Administrative Office of the Courts File No. STATE OF NORTH CAROLINA In The General Court Of Justice County Superior Court Division Before The Clerk IN THE MATTER OF THE ESTATE OF Name Of Decedent ADDENDUM TO APPLICATION FOR PROBATE OF OUT-OF-STATE WILL OR CODICIL

G.S. 31-11.6, -46; 10 U.S.C. 1044d(d) I, the undersigned, applying for probate, being first duly sworn, say that: 1. The decedent was physically present in the state of at the time of the testamentary document’s execution. 2. The decedent was domiciled in the state of at the time of the testamentary document’s execution. 3. The decedent was domiciled in the state of at the time of death. 4. The testamentary document referenced in the attached Application For Probate And Letters (AOC-E-201) Application For Probate (AOC-E-199) Application For Probate And Petition For Summary Administration (AOC-E-905) Affidavit For Collection Of Personal Property Of Decedent (AOC-E-203) was executed in the state of on (date) and is valid for probate in North Carolina because: a. Its execution complied with the laws of North Carolina at the time of execution, at the time of death of the testator, as shown by the attached documentation and legal authority. b. Its execution complied with the law of the jurisdiction in which the testator was physically present at the time of execution, as shown by the attached documentation and legal authority. This documentation substantiates that any and all requirements for the testamentary document to be proved a valid will under the law of that jurisdiction as it existed at that time have been met, even if it was never probated there. c. Its execution complied with the law of the place where the testator was domiciled at the time of execution, at the time of death of the testator, as shown by the attached documentation and legal authority. This documentation substantiates that any and all requirements for the testamentary document to be proved a valid will under the law of that place as it existed at that time have been met, even if it was never probated there. d. It is a military testamentary instrument executed in accordance with the provisions of 10 U.S.C. § 1044d(d) or any successor or replacement statute. 5. The testamentary document referenced in the attached Application was was not probated in another state. (If the document was probated in another state, a copy of the Certificate of Probate from the other state should be attached to this document.)

NOTE: G.S. 31-11.6(d) provides: “Any will recognized as valid under Signature Of Applicant G.S. 31-46(1) or (2) and shown by the propounder to have been made self-proved under the laws of the jurisdiction in which the testator was Name Of Applicant (type or print) physically present at the time of execution or the place where the testator was domiciled at the time of execution or at the time of death shall be considered as self-proved.” Persons proceeding under that subsection SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME should provide sufficient documentation as to affirmatively show that the will was made self-proved under the laws of that state. Date G.S. 31-11.6(e) provides: “A military testamentary instrument NOTE: Signature Of Person Authorized To Administer Oaths executed in accordance with the provisions of 10 U.S.C. § 1044d(d) or any successor or replacement statute shall be considered as self-proved.” Deputy CSC Assistant CSC Clerk Of Superior Court

Date Commission Expires Notary SEAL

County And State (Or Country) Where Oath Administered

County In The General Court Of Justice Superior Court Division Before the Clerk IN THE MATTER OF THE ESTATE OF: Name Of Decedent RENUNCIATION OF RIGHT TO QUALIFY FOR LETTERS TESTAMENTARY OR LETTERS OF ADMINISTRATION

G.S. 28A-5-1, -2

To The Clerk Of Superior Court:

1. The undersigned hereby renounces the right to qualify as executor of the estate of the above named decedent.

2. The undersigned hereby renounces the right to administer the estate of the above named decedent and respectfully asks that the following nominee be appointed administrator of the estate. Name Of Nominee

Date Date

Name Of Person Renouncing (Type Or Print) Name Of Witness (Type Or Print)

Signature Of Person Renouncing Signature Of Witness

Date Date

Name Of Person Renouncing (Type Or Print) Name Of Witness (Type Or Print)

Signature Of Person Renouncing Signature Of Witness

Date Date

Name Of Person Renouncing (Type Or Print) Name Of Witness (Type Or Print)

Signature Of Person Renouncing Signature Of Witness

Date Date

Name Of Person Renouncing (Type Or Print) Name Of Witness (Type Or Print)

Signature Of Person Renouncing Signature Of Witness

AOC-E-200, Rev. 7/06 Original-File © 2006 Administrative Office of the Courts File No. STATE OF NORTH CAROLINA In The General Court Of Justice County Superior Court Division Before The Clerk IN THE MATTER OF THE ESTATE OF: Name Of Decedent/Minor/Incompetent/Trust OATH/AFFIRMATION

N.C. Constitution, Art. VI., Sec. 7; G.S.11-7, 11-11; 28A-7-1 I, the undersigned, do solemnly swear affirm that I will support and maintain the Constitution and laws of the United States, and the Constitution and laws of North Carolina not inconsistent therewith; that I will be faithful and bear true allegiance to the State of North Carolina, and to the constitutional powers and authorities which are or may be established for the government thereof; and that I will endeavor to support, maintain and defend the Constitution of said State, not inconsistent with the Constitution of the United States, to the best of my knowledge and ability; and that I will faithfully discharge the duties of my office as indicated below; so help me, God. and this is my solemn affirmation.

(check office below) OATH OF ADMINISTRATOR I swear affirm that I believe that the above named decedent died without leaving any Last Will and Testament; that I will well and truly administer all and singular the goods and chattels, rights and credits of the deceased and a true and perfect inventory thereof return according to law; and that all other duties appertaining to the charge reposed in me, I will well and truly perform, according to law and with my best skill and ability; so help me, God. and this is my solemn affirmation. OATH OF EXECUTOR I swear affirm that I believe this paper writing to be and contain the Last Will and Testament of the above named decedent; and that I will well and truly execute the same by first paying the decedent's debts and then the decedent's legacies; as far as the said estate shall extend or the law shall charge me; and that I will well and faithfully execute the office of an executor, agreeably to the trust and confidence reposed in me, and according to law; so help me, God. and this is my solemn affirmation. OATH OF ADMINISTRATOR CTA I swear affirm that I believe this paper writing to be and contain the Last Will and Testament of the above named decedent; and that I will well and truly execute the same by first paying the decedent's debts and then the decedent's legacies, as far as the said estate shall extend or the law shall charge me; and that I will well and faithfully execute the office of an administrator cta to the best of my skill and ability and according to the law; so help me, God. and this is my solemn affirmation. OATH OF FIDUCIARY I swear affirm that I will faithfully and honestly discharge the duties reposed in me according to the best of my skill and ability, and according to law; so help me, God. and this is my solemn affirmation.

Name Of Fiduciary 1 Name Of Fiduciary 2

Signature Of Fiduciary Signature Of Fiduciary

SWORN AFFIRMED AND SUBSCRIBED TO BEFORE ME SWORN AFFIRMED AND SUBSCRIBED TO BEFORE ME

Date Date

Signature Of Person Authorized To Administer Oaths Signature Of Person Authorized To Administer Oaths

Deputy CSC Assistant CSC Clerk Of Superior Court Deputy CSC Assistant CSC Clerk Of Superior Court

Date My Commission Expires Date My Commission Expires Notary Notary

County Where Notarized County Where Notarized SEAL SEAL

County In The General Court Of Justice Superior Court Division Before The Clerk IN THE MATTER OF THE ESTATE OF: Name Of Decedent WAIVER OF PERSONAL REPRESENTATIVE'S BOND

G.S. 28A-8-1(b)(6), (8)

I certify that I am an heir/devisee of the above named decedent, and I am over eighteen (18) years of age. I waive the statutory requirement for bond for the personal representative named below of this estate, who resides in the State of North Carolina, and agree to relieve him/her from the necessity of giving the statutory bond. (NOTE: An express requirement in the will for a bond cannot be waived.) Name Of Personal Representative

I understand that this means that there will be no bond to go against if the personal representative does not properly administer the estate and distribute the assets to the heirs. I have read this Waiver, and I fully understand its meaning and effect.

Date Date

Name Of Heir/Devisee (Type Or Print) Name Of Heir/Devisee (Type Or Print)

Signature Of Heir/Devisee Signature Of Heir/Devisee

SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Date Signature Date Signature

Deputy CSC Assistant CSC Clerk Of Superior Court Deputy CSC Assistant CSC Clerk Of Superior Court Date My Commission Expires Date My Commission Expires Notary Notary

County Where Notarized County Where Notarized SEAL SEAL

Date Date

Name Of Heir/Devisee (Type Or Print) Name Of Heir/Devisee (Type Or Print)

Signature Of Heir/Devisee Signature Of Heir/Devisee

SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Date Signature Date Signature

Deputy CSC Assistant CSC Clerk Of Superior Court Deputy CSC Assistant CSC Clerk Of Superior Court Date My Commission Expires Date My Commission Expires Notary Notary

County Where Notarized County Where Notarized SEAL SEAL

AOC-E-404, Rev. 4/11 Original - File © 2011 Administrative Office of the Courts File No. STATE OF NORTH CAROLINA In The General Court Of Justice County Superior Court Division Before The Clerk IN THE MATTER OF THE ESTATE OF: Name Of Decedent/Trust/Minor/Incompetent BOND (Corporate Surety)

G.S. 28A-8-1, -1.1, -2, -3; 35A-1231 We, the undersigned principal(s) and surety, are obligated to the State of North Carolina in the sum shown below. We bind ourselves, jointly and severally, to the payment of this sum. The condition of this obligation is such that if the principal(s) shall administer the above estate/trust according to the law, faithfully execute the trust reposed in him/her, and obey all lawful orders issued by the Clerk of Superior Court or other court touching the administration of the estate/trust committed to the principal(s), then this obligation shall be void; otherwise, this obligation shall remain in full force and effect. Current Bond Amount Amount Increase/Decrease (if any) Amount New Bond Total (if applicable) $ $ $ Name Of Principal Name Of Principal 2 (if applicable)

Signature Of Principal Signature Of Principal 2 (if applicable)

ACKNOWLEDGED BEFORE ME ACKNOWLEDGED BEFORE ME (Principal) (Principal 2, if applicable) Date Date

Signature Signature

Deputy CSC Assistant CSC Clerk Of Superior Court Deputy CSC Assistant CSC Clerk Of Superior Court

Date Commission Expires Date Commission Expires Notary Notary

County Where Notarized County Where Notarized SEAL SEAL

Name And Address Of Corporate Surety

Bond No.

Name Of Agent For Corporate Surety

Signature Of Agent For Corporate Surety

ACKNOWLEDGED BEFORE ME (Agent For Corporate Surety) Date Signature

Deputy CSC Assistant CSC Clerk Of Superior Court

Date Commission Expires Notary

County Where Notarized SEAL

Original-File AOC-E-401, Rev. 3/16 © 2016 Administrative Office of the Courts File No. STATE OF NORTH CAROLINA In The General Court Of Justice County Superior Court Division Before The Clerk IN THE MATTER OF THE ESTATE OF: Name Of Decedent/Trust/Minor/Incompetent BOND (Personal Sureties) G.S. 28A-8-1, -1.1, -2, -3; 35A-1231 We, the undersigned principal and sureties, are obligated to the State of North Carolina in the sum shown below. We bind ourselves, jointly and severally, to the payment of this sum. The condition of this obligation is such that if the principal shall administer the above estate/trust according to law, faithfully execute the trust reposed in him/her, and obey all lawful orders issued by the Clerk of Superior Court or other court touching the administration of the estate/trust committed to the principal, then this obligation shall be void; otherwise, this obligation shall remain in full force and effect. Current Bond Amount Amount Increase/Decrease (if any) Amount New Bond Total (if applicable) $ $ $ Signature Of Principal

ACKNOWLEDGED BEFORE ME (Principal) Date Signature

Deputy CSC Assistant CSC Clerk Of Superior Court Date Commission Expires Notary

County Where Notarized SEAL Signature of Surety 1 Signature of Surety 2

ACKNOWLEDGED BEFORE ME ACKNOWLEDGED BEFORE ME (Surety 1) (Surety 2) Date Signature Date Signature

Deputy CSC Assistant CSC Clerk Of Superior Court Deputy CSC Assistant CSC Clerk Of Superior Court

SEAL SEAL JUSTIFICATION Each of the undersigned personal sureties being first duly sworn, says that he/she is a resident of the State of North Carolina, owns real estate in North Carolina, has assets with an aggregate value above encumbrances of not less than the amount of the bond, which aggregate value is over and above all liabilities and exemptions allowed by law. Signature Of Surety 1 Signature Of Surety 2

Name And Address Of Personal Surety 1 Name And Address Of Personal Surety 2

SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Date Signature Date Signature

Deputy CSC Assistant CSC Clerk Of Superior Court Deputy CSC Assistant CSC Clerk Of Superior Court

SEAL SEAL

In The General Court Of Justice County Superior Court Division Before The Clerk

IN THE MATTER OF THE ESTATE OF: Name Of Decedent/Incompetent APPOINTMENT OF RESIDENT PROCESS AGENT

G.S. 28A-4-2(4); 35A-1213(b)

I, the qualified personal representative or guardian of the above named estate, submit to the jur isdiction of the North Carolina Courts in the ab ove captione d matter, and appoint the resident process agent named below on whom may be served citations, notice s an d processes in all actions or proceedings with respect to this estate.

Name, Street Address, PO Box, City, State And Zip Code Of Resident Process Agent Date

Name Of Personal Representative Or Guardian (Type Or Print)

Telephone County Of Residence Signature Of Personal Representative Or Guardian

ACCEPTANCE OF APPOINTMENT

I accept this appointment as resident process agent for the above named personal representative or guardian, and agree to notify the personal representative or guardian of all citations, notices and processes served on me as his resident process agent.

Date SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Date Name Of Resident Process Agent (Type Or Print)

Signature Of Person Authorized To Administer Oaths Signature Of Resident Process Agent

Deputy CSC Assistant CSC Clerk Of Superior Court Date My Commission Expires Notary

County Where Notarized SEAL