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1 IN THE CHANCERY COURT OF THE ________ JUDICIAL DISTRICT OF _________ COUNTY, MISSISSIPPI IN THE MATTER OF THE ESTATE OF _______________________, DECEASED CAUSE NO. ________________ PETITION FOR APPROVAL OF FIRST AND FINAL ACCOUNTING AND DISCHARGE OF ADMINISTRATOR Comes now Petitioner, ______________, an adult resident citizen of the city of __________, ____________ County, Mississippi, and the Administrator of the Estate of _________________, deceased, and respectfully would show unto the Court the following: 1. That on or about the _____ day of _________, 20____, ___________________, an adult resident citizen of the __________ Judicial District of __________ County, Mississippi, departed this life intestate. 2. That on _________ ____, 20____, Petitioner herein was appointed as the Administrator of the Estate of __________________, deceased, and Letters of Administration were issued to Petitioner on ___________ _____, 20____. 3. That Notice to Creditors has been published in ________________, a newspaper published and having a general circulation in the ________ Judicial District of _______ County, Mississippi, said publication having been made on _________ ____, 20____, __________ ____, 20____, and on ____________ ____, 20____, all as shown by the Proof of Publication of said notice, which proof is on file with the other papers in this cause in the office of the Chancery Clerk of _________ County at ______________, Mississippi. 4. That the time to probate claims has now elapsed, and the following claims have been probated against said estate. A. Claim by _________________., _________________, for $____________ (For 2 funeral charges); and B. Claim by ____________for $__________ (for burial costs). That said claims are just and correct and should therefore be paid in full from the a ssets of the Estate by the Petitioner as Administrator. 5. That all assets of the Estate have been collected, and there were no federal estate taxes due to the Internal Revenue Service nor were there any estate taxes due to the Mi ssissippi State Tax Commission due to the size of the Estate. That said Administrator will fi le the state and federal income tax returns of the decedent for 20___ as soon as practicable after the 20___ income tax forms are available from the Mississippi Tax Commission and Internal Revenue Service. No taxes will be due. 6. That the sole surviving heir-at-law of the decedent at the time of his death was _____________(Decedent's daughter), and her address is ________________________ ______________________ 7. That Petitioner s first and final accounting has been filed in this matter in proper form, is duly sworn to, and a copy is attached hereto as Exhibit A. That said accounting shows that during the period from ________ ____, 20____, to _________ ____, 20____, Petitioner received or took control of cash and property in the amount of $____________, had disbursements in the amount of $________ leaving total assets in the amount of $__________. 8. That ______________________, attorneys, have rendered valuable services to said Administrator in connection with this Estate, and said attorneys should be paid a reasona ble amount for their legal services to the Administrator by said firm and for the reasonable out-of- pocket expenses incurred by said firm on behalf of the Administrator. That said attorneys have already been paid the sum of $__________- in partial payment of their fees and expenses. 9. That all necessary acts having been done by your Petitioner, the Estate should be fi nally closed upon payment of all administration and Court costs, the probated claims named a bove, 3 attorneys fees and expenses, and paying over to ________________the remainder of said Estate, and, after the Administrator files the 20____ state and federal income ta x returns on behalf of the decedent, your Petitioner should then be fully and finally discharged. WHEREFORE, PREMISES CONSIDERED, your Petitioner prays as follows: 1. That the First and Final Accounting of _____________, the Administrator of the Estate of ________________, deceased, be approved and allowed, and that all actions taken by said Administrator during the accounting period, as reflected in said First and Final Account be approved and confirmed. 2. That __________________, as Administrator, be authorized to pay unto the Clerk of this Court all court costs accrued herein, to pay the probated claims of _________________, and __________-, and to pay to the Estate's attorneys, _____________________, the sum of____________________and ($____________) for the remaining amount owed for their services, plus any reasonable out-of-pocket expenses which said firm has incurred in connecti on therewith. 3. That after taking the actions above set forth, ___________, as Administrator, be authorized to take such steps as might be necessary to assign, transfer, and deliver unto _________________the remaining property comprising the decedent's Estate. 4. That after taking the actions above set forth, including the filing of said 20____ income tax returns, your Petitioner, __________, shall stand fully and finally discharged and relieved from any further obligations, responsibilities, or liabilities in connection wit h the Estate of _______________, deceased, without the entry of any other or further orders or decrees in this cause, and this Estate shall thereupon be closed. And Petitioner prays for general relief. Respectfully submitted, __________________________________________ ___ _________________, Administrator of the Estate of ___________________- 4 _______________________________________ ______________________ (MSB No. _____) __________________________________________________________________ Telephone Number: _______ Solicitors STATE OF MISSISSIPPI COUNTY OF ____________Personally appeared before me, the undersigned authority at law in and for the aforesaid jurisdiction, the within-named _________, Administrator of the Estate of ________________, deceased, and individually, who, after being by me first duly sworn, stated on oath that the matters and facts set forth in the above and foregoing Petition are true and correct a s therein stated. _____________ SWORN to and subscribed before me, this the day of __________, 20____. __________________ Notary Public My Commission Expires:________________________