GPCSF 33 [i] Eff. July 2017
PETITION FOR DISCHARGE OF PERSONAL REPRESENTATIVE
INSTRUCTIONS
I. Specific Instructions
1.This form is to be used for a Petition for Discharge of a Perso nal Representative
pursuant to O.C.G.A. § 53-7-50 or Discharge of a Temporary Admi nistrator pursuant
to O.C.G.A. § 53-7-52. A Personal Representative may, purs uant to O.C.G.A. §
53-7-50(e), petition the court so lely for discharge from office but not from all liability.
2. If the Petition is filed by a Pe rsonal Representative, the notice to debtors and creditors
must have been published for f our weeks, and three months must have elapsed from
the date of the last publi cation. O.C.G.A. §§ 53-7-41, 53-11-4.
3. Signatures of heirs who acknowledge service must be sworn to be fore a notary public
or the Clerk of any Probate Court of this State. It is not nec essary that all
acknowledgments appear on the sa me page. An attorney at law may acknowledge
service on behalf of an heir; however, the attorney must certify that he or she currently
represents that heir w ith regard to the pending matter and, in order to comply with
O.C.G.A. § 53-11-6, the attorney's signature must be sworn to a s provided above. With
regard to a power of attorney, th e attorney-in-fact may acknowledge service on behalf
of the grantor of the power, provided that the power of attorne y grants such authority,
the signature of the attorney-in- fact is attested, a copy of the power of attorney is
attached, and the a ttorney-in-fact certif ies that the copy is a true copy and is still in
effect.
4. O.C.G.A. § 53-11-2 provides that a party to a probate proceedin g who is not sui juris
must be represented by a guardian provided that the Court may a ppoint a guardian ad
litem or determine that the natural guardian, guardian, conservator, or testamentary
guardian has no conflict and may serve. Should a guardian ad l item be necessary
because a party is not sui juris, use Supplement 1.
5. Use Supplement 2 if the Court de termines it is appropriate to appoint a special process
server.
6. Use Supplement 3 when an addition al certificate of service is necessary.
GPCSF 33 [ii] Eff. July 2017
7.In the event the Decedent died intestate, Paragraph 3 requires that a definitive statement
be made to show to the court that the persons named in Paragrap h 2 constitute all of
the heirs of the Decedent and that there are no heirs of the sa me or closer degree
according to O.C.G.A. § 53-2-1. Provide the date of death for a ny deceased heirs.
[NOTE: If you are uncertain how to determine the heirs of a Dec edent, please refer to
the “Heirs Determination Sheet” available from the probate cour t or at
www.gaprobate.gov.] Examples of such statement would be: (a) “D ecedent was or was
not married at the time of his death and had no children born, adopted, living or
deceased, other than listed herein”; (b) “Decedent had no other siblings half or whole
other than those listed herein”; (c) “the Decedent’s brother wh o died previously had no
other children born, adopted, living or deceased, other than li sted herein.”
8. According to Probate Court Rule 5.6 (A), unless the Court speci fically assumes the
responsibility, it is the responsibility of the moving party to prepare the proper citation
and deliver it properly so it can be served according to law. A ll pages after the Notice
regarding Uniform Probate Court Rule 5.6 (A) are to be completed by the moving party,
unless otherwise directed by the Court.
II. General Instructions
General instructions applicable to all Georgia Probate Court St andard Forms are
available in each Probate Cour t or at www.gaprobate.gov, labeled GPCSF 1.
GPCSF 33 [1] Eff. July 2017
IN THE PROBATE COURT OF ___________________________ COUNTY
STATE OF GEORGIA
IN RE: ESTATE OF )
)
____________________________________, )
ESTATE NO. __________________
DECEASED )
PETITION FOR DISCHARGE OF PERSONAL REPRESENTATIVE
The Petition of _______________________________________________ __________, as
(Executor(s)) (Administrator(s)) (Temporary Administrator(s)) o f the above-referenced estate,
shows:
1.
Petitioner(s) [initial one]:
______ (a) has/have fully administered the estate of the Deced ent.
______ (b) was/were allowed to resign without fully administer ing said estate.
______ (c) has/have completely d ischarged all duties as temporary administrator(s).
2.
Listed below are all of the heirs of an intestate Decedent or b eneficiaries of a testate
Decedent, or persons who succeeded to the interest of any heir or beneficiary who died after the
Decedent died:
Name Age (or over 18) Address Relationship
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
GPCSF 33 [2] Eff. July 2017 [
NOTE: If discharge is sought sole ly from office and not from office and all liability,
STRIKE
Paragraphs 3 and 4 below.]
3.
Required:
[In the event the Decedent died intestate (without a will), make a definitive
statement with sufficient factual information to en able the court to conc
lude that all of the heirs of
the Decedent are included
and that there are no heirs of similar or closer degree according to
O.C.G.A. § 53-2-1. Provid
e the names of any deceased heirs and include the date of death for
each. (See instructions for
further clarification.) Also, state here all pertinent facts that may govern
the method of giving notice to any
party and that may determine whether or not a guardian ad
litem should be appo
inted for any party. If
any heirs listed above are cousins, grandchildren,
nephews or nieces of the Decedent, please indicate the deceased ancestor through whom they are
related to the Decedent.]
_______________________________________________________________________________
________________________
_
_____________________________________________________________________________________
4.
Of those named in Paragraph
2 above, it is not necessary to notify the following heirs or
beneficiaries (a) who
have relieved
the Personal Representative of all liability and as to each of
whom a copy
of the writing(s)
granting such relief is/are attached hereto or (b) with respect to
whom the Personal
Representative has
been relieved of
all further liability in (a settlement of
accounts)(an
intermediate report)(other binding proceeding)
pursuant to an order of this Court
dated _____________________ and hereby incorporated herein:
_____________________________
_____________________________________________________________________________________
________________________________________________________________________________
5.
The following heirs or beneficiaries are represented or should be represented by
a
g
uardian [state names of heir/beneficiary and guardian, if one has already been appointed, and reason
guardian needed/appointed]:
_
____________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
6.
All claims against th
e estate have been paid (except fo
r the fo llowing that have not been
paid for the reasons set forth below) [provid
e names and addresses for service]
:
_____________________________________________________________________________________
_____________________________________________________________________________________
______________________________________________________________
_______________________
_____________________________________________________________________________________
GPCSF 33 [3] Eff. July 2017
7.
[initial one] :
____ All necessary (inventories) (and) (returns) have been filed.
____ Petitioner was relieved of filing (inventories) (and) (re turns).
8
.
Additional Data: [Where full particulars are lacking, state here the reasons for any su\
ch
omission.]
_____________________________________________________________________________________
_____________________________________________________________________________________
WHEREFORE, Petitioner(s) pray(s):
[initial one]
______ (a) to be discharged solely from office and, therefore, pray(s) that notice issue
and be published one time in the official county newspaper with copies thereof being mailed by
first-class mail to the creditors named in Paragraph 5 above an d that an order issue discharging the
Petitioner(s) from office.
OR
______ (b) to be discharged from office and all liability and, therefore, pray(s) that notice
issue and be served and published as required by law and that a n order issue releasing and
discharging the Petitioner(s) from office and from all liabilit y.
_________________________________
Signature of Petitioner
_________________________________
Printed Name
_________________________________
Mailing Address
_________________________________
_________________________________
Telephone Number
Signature of Attorney ______________________________________________________
Printed Name of Attorney ______________________________________ ________________
Address ______________________________________________________
______________________________________________________
Telephone Number __________________ State Bar #______________ __________
GPCSF 33 [4] Eff. July 2017
VERIFICATION
GEORGIA, ____________________________ COUNTY Personally appeared before me the undersigned Petitioner(s) who after being duly sworn,
state(s) that the facts set forth in the foregoing Petition for Discharge of Personal Representative
(and the attached Exhibit(s )) are true and correct.
Sworn to and subscribed before me this
______day of________________, 20____. _________________________ ___________
Signature of Petitioner
_____________________________________ ____________________________________
NOTARY/CLERK OF PROBATE COURT Printed Name of Petitioner
My Commission Expires _________________
GPCSF 33 [5] Eff. July 2017
IN THE PROBATE COURT OF ___________________________ COUNTY
STATE OF GEORGIA
IN RE: ESTATE OF )
)
____________________________________, )
ESTATE NO. __________________
DECEASED )
ACKNOWLEDGMENT OF SERVICE AND CONSENT TO PETITION
The undersigned, being 18 years of age or older, laboring under no legal disability and
being heirs or beneficiaries o r unpaid purported creditors of t he above-named Decedent, hereby
acknowledge service of a copy of the Petition for Discharge of Personal Representative, and notice,
waive copies of same, waive fur ther service and notice, and hereby consent to the Petition.
Sworn to and subscribed before me this
_____day of_______________, 20____. ______________________________________
Signature of Interested Party
______________________________________ ______________________________________
NOTARY/CLERK OF PROBATE COURT Printed Name of Interested Party
My Commission Expires_______________
------------------------------------------------------------------------------------------------------------------------------
Sworn to and subscribed before me this
_____day of_______________________, 20____. ______________________________________
Signature of Interested Party
______________________________________ ______________________________________
NOTARY/CLERK OF PROBATE COURT Printed Name of Interested Party
My Commission Expires ______________
------------------------------------------------------------------------------------------------------------------------------
Sworn to and subscribed before me this
_____day of_______________________, 20____.. ______________________________________
Signature of Interested Party
______________________________________ ______________________________________
NOTARY/CLERK OF PROBATE COURT Printed Name of Interested Party
My Commission Expires _______________
------------------------------------------------------------------------------------------------------------------------------
Sworn to and subscribed before me this
_____day of_______________________, 20____.. ______________________________________
Signature of Interested Party
______________________________________ ______________________________________
NOTARY/CLERK OF PROBATE COURT Printed Name of Interested Party
My Commission Expires _______________
------------------------------------------------------------------------------------------------------------------------------
Sworn to and subscribed before me this
_____day of_______________________, 20____.. ______________________________________
Signature of Interested Party
______________________________________ ______________________________________
NOTARY/CLERK OF PROBATE COURT Printed Name of Interested Party
My Commission Expires_______________
GPCSF 33 [6] Eff. July 2017
NOTICE
THE FOLLOWING PAGES ARE TO BE
COMPLETED BY THE PETITIONER (MOVIN G
PARTY) UNLESS OTHERWISE DIRECTED BY THE
COURT.
SEE PROBATE COURT RULE 5.6 (A).
seeking discharge solely from office, it is ordered that Notice be published one time in the
GPCSF 33 [7] Eff. July 2017
IN THE PROBATE COURT OF ___________________________ COUNTY
STATE OF GEORGIA
IN RE: ESTATE OF
) )
____________________________________, )
ESTATE NO. __________________
DECEASED )
ORDER FOR SERVICE OF NOTICE
[Initial A. (discharge solely from office) or B. (discharge from office and all liability)]
______ A. The Petition for Discharge of Personal R epresentative having been filed,
newspaper in which sheriff’s advertisements are published in this County at least ten (10) days
before __________________________, 20 ___________ and that a co py of the Petition and
Notice be mailed by first-class mail to the creditors whose cla ims have not been paid as set forth
in Paragraph 6 of the Petition.
______ B. The Petition for Discharge of Personal Representative having been filed,
seeking discharge from office a nd all liability, it is ordered that all heirs or beneficiaries or unpaid
creditors who did not acknowledge s ervice and consent to the Petition be served as follows:
[Initial all that apply]
______ Notice, together with a copy of the Petition, shall be s erved personally, or by
registered or certified mail or statutory overnight delivery, a s requested by the Petitioner(s)
pursuant to O.C.G.A. § 53-11-3, at least ten (10) days before the deadline for filing objections on
the following interested partie s who reside in Georgia: _______ ___________________________
______________________________________________________________________________
______________________________________________________________________________ _
_____
Notice, together with a copy of t he Petition, shall be ser ved by registered or
certified mail, return receipt requested, pursuant to O.C.G.A. § 53-11-4, upon the following
nonresident interested parties whose current residence addresse s are known: ________________
______________________________________________________________________________
______________________________________________________________________________
______ Notice shall be published once a week for four (4) week s in the legal organ of
this County, before____________________, 20_______ in order to serve by publication the
following interested parties whos e current residence addresses are unknown: ________________
______________________________________________________________________________
______________________________________________________________________________
GPCSF 33 [8] Eff. July 2017
_______ [Applies in all cases unless notice is published for four weeks] Notice shall be
published one time in the legal organ of
this County at least ten (10) days before
_______________________, 20______ which is the date on or before which any objection is
required to be filed.
SO ORDERED this ________ day of _____________________, 20_____ .
______________________________________
Judge of the Probate Court
GPCSF 33 [9] Eff. July 2017
IN THE PROBATE COURT OF ___________________________ COUNTY
STATE OF GEORGIA
IN RE: ESTATE O
F )
)
____________________________________, )
ESTATE NO . __________________
DECEASED )
NOTICE
[For Discharge Solely from Office]
IN RE: Petition for Discharge of Personal Representative
TO: ___________________________________________________________ _________________
____________________________________________________________________________
[List all creditors who did not acknowledge service whose claims have not been paid. ]
and to whom it may concern:
This is to notify you to file obj ection, if there is any, to the Petition for Discharge of
Personal Representative, in this Court on or before____________ _______________, 20______.
BE NOTIFIED FURTHER: All objections to the Petition must be in writing, setting fort h
the grounds of any such objections. All objections should be sworn to before a notary public or
before a Probate Court Clerk, and filing fees must be tendered with your objections, unless you
qualify to file as an indigent party. Contact Probate Court personnel for the required amount of
filing fees. If any objections are filed, a hearing will be (held on ___________________________)
(scheduled at a later date). I f no objections are filed, the P etition may be granted without a hearing.
____________ _____________ ____________
J
udge of the Probate Court
By: _________________________________ Clerk of the Probate Court
______________________________________
______________________________________
Address
______________________________________
Telephone Number
GPCSF 33 [10] Eff. July 2017
IN THE PROBATE COURT OF ___________________________ COUNTY
STATE OF GEORGIA
IN RE: ESTATE OF )
)
____________________________________,) ESTATE NO. __________________
DECEASED )
NOTICE
[For Discharge from Office and all Liability]
IN RE: Petition for Discharge of Personal Representative
[Strike any Paragraph if not applicable]
TO: _____________________________________________________________________________
__________________________________________________________________________________
[List here all interested parties having un known addresses to be served by publication
]
and (all and singular the heirs of said Decedent,)(the benefici aries under the will,) and to
whom it may concern:
This is to notify you to file objection, if there is any, to the above-referenced Petition, in
this Court on or before_________________, 20_____.
TO: ________________________________________________________________________
______________________________________________________________ ________________
[List here all heirs having known addresses in the continental U.S. to be served by registered or certified or
statutory overnight delivery with restricted delivery to the addressee, if specifically requested by the
Petitioner(s)]
This is to notify you to file objection, if there is any, to the above-referenced Petition, in
this Court on or before the th irteenth (13th) day after________ _____________, 20 ______ (the
date of the mailing of this Notice to you by certified or registered mail, return receipt requested);
provided, however, that if a return receipt for such Notice is actually received by the Court within
such thirteen (13) days, the d eadline for the filing of any objection shall be ten (10) days from the
date of receipt shown on such return receipt.
TO: ________________________________________________________________________
________________________________________________________________________
[List here all heirs having known addresses outside the continental U.S. to be served by registered or certified
mail or statutory overnight delivery with restricted delivery to the addressee, if specifically requested by the
Petitioner(s)]
This is to notify you to file objection, if there is any, to the above-referenced Petition, in
this Court on or before the thirtieth (30th) day after ________ ______, 20_______ (the date of the
mailing of this Notice to you by certified or registered mail, return receipt requested); provided,
however, that if a return receipt for such Notice is actually r eceived by the Court within such thirty
(30) days, the deadline for the filing of any objection shall b e ten (10) days from the date of receipt
shown on such return receipt.
GPCSF 33 [11] Eff. July 2017
TO: ___________________________________________________________ ___________________
______________________________________________________________________________
[List here all interested parties who reside in Georgia to be served personally or by registered or certified
mail or statutory overnight delivery with restricted delivery to the addressee, if specifically requested by the
Petitioner(s)]
This is to notify you who are re quired to be served personally, to file objection, if there is
any, to the above-referenced Pe tition, in this Court on or before the tenth (10th) day after the date
you are personally served or sign the return receipt.
BE NOTIFIED FURTHER: All objections to the Petition must be in writing, setting for th
the grounds of any such objections. All objections should be sworn to before a notary public or
before a Probate Court Clerk, and filing fees must be tendered with your objections, unless you
qualify to file as an indigent party. Contact Probate Court personnel for the required amount of
filing fees. If any objections are filed, a hearing will be (held on ______________________, 20__)
(scheduled at a later date). I f no objections are filed, the P etition may be granted without a hearing.
____________ _____________ ____________
Judge of the Probate Court
By: _________________________________ Clerk of the Probate Court
____________ _____________ ____________
____________ _____________ ____________
Address
____________ _____________ ____________
Telephone Number
GPCSF 33 [12] Eff. July 2017
IN THE PROBATE COURT OF ___________________________ COUNTY
STATE OF GEORGIA
IN RE: ESTATE OF )
)
____________________________________,) ESTATE NO. __________________
DECEASED )
CERTIFICATE OF SERVICE
This
is to certify that I have this date mailed (unless otherwi se noted) in an envelope with
the proper postage affixed thereto for first-class mail deliver y copies of the ___________________
______________________________________________________________________________
______________________________________________________________________________
to the following parties at the addresses below:
This _______ day of ________________, 20____.
_________________________ ____________
Clerk of the Probate Court
____________ _____________ ____________
____________ _____________ ____________
Address
____________ _____________ ____________
Telephone Number
GPCSF 33 [13] Eff. July 2017
IN THE PROBATE COURT OF ___________________________ COUNTY
STATE OF GEORGIA
IN RE: ESTATE OF ) )
___________________________________, ) ESTATE NO. __________________
DECEASED )
FINAL ORDER
The foregoing Petition for Discharge of ____________________ as _________________
______________________ was filed. The Court finds that no obje ction has been filed, and all
requirements of law have been fulfilled.
ACCORDINGLY, IT IS ORDERED tha t petitioner(s) be, and is/are hereby, discharged
[initial one]
_____ a . solely from office
_____ b. from office and all liability.
SO ORDERED this __________ day of _______________________, 20__________. ___________________________________________ Judge of the Probate Court