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ORDER OF COMPLETE SETTLEMENT OF ESTATE AND DECREE OF DISTRIBUTION STATE OF MINNESOTA DISTRICT COURT COUNTY OF ________________ ________ Judicial District In Re: Estate of ______________________________ PROBATE DIVISION Court File No. ________ ORDER OF COMPLETE SETTLEMENT OF THE ESTATE AND DECREE OF DISTRIBUTION The petition of __________________________________________________________________________ dated _______________ 20 _____, for an order of complete settlement of the estate and decree of distribution in the estate of the above named decedent having duly come on for hearing before the above named Court on ____ ___________________, 20 _____, the undersigned Judge having heard and considered such petition, being fully advised in the premises, makes the following fndings and determinations: 1 . That the petition for order of complete settlement of the estate and decree of distribution is complete. 2 . That the time for any notice has expired and any notice as required by the laws of this state has been given and proved. 3 . That the petitioner(s) (has) (have) declared or afrmed that the representations contained in the petition are true, correct and complete to the best knowledge or information of petitioner(s). 4 . That the petitioner(s) appear(s) from the petition to be (an) interested person(s) as defned by the laws of this State. 5 . That the decedent died _____________testate at the age of _______ years on __________________, 20 _____, at _________________________________________________________________________. 6 . That venue for this proceeding is in the above named County of the State of Minnesota, because the decedent was domiciled in such County at the time of death, and was the owner of property located in the State of Minnesota, or because, though not domiciled in the State of Minnesota, the decedent was the owner of property located in the above named County at the time of death. 7 . That this Court has jurisdiction of this estate, proceeding and subject matter. 8 . That the said estate has been in all respects fully administered, and all expenses, debts, valid charges and all claims allowed against said estate have been paid. 9 . That a fnal account has been fled herein by the personal representative(s) for consideration and approval. - 1 - 10 . That decedent’s last will duly executed on __________________________, 20 _____, and codicil or codicils thereto duly executed on _________________________, 20_____, (was) (were) probated by the order of this Court dated ______________________, 20_____, or (is) (are) formally probated by this order, and should be construed to provide that under the provisions thereof, the estate of decedent is devised as follows: (State actual legal relationship of each devisee to decedent) 11 . That the following named persons are all the heirs of the decedent and their actual relationship to decedent is as stated (If decedent died testate, do not list heirs unless all heirs are ascertained): 12 . That the property of the decedent on hand for distribution consists of the following: (A) Personal property of the value of $_________________________ described as follows: (B) Real property described as follows: (1) The homestead of the decedent situated in the County of _______________________, State of Minnesota, described as follows: (2) Other real property situated in the County of ______________________________, State of Minnesota, described as follows: - 2 - 13 . That the inheritance taxes on the herein described property have been paid or waived. 14 . That any previous order determining testacy should be confrmed as it afects any previously omitted or unnotifed persons and other interested persons. NOW, THEREFORE, it is ORDERED ADJUDGED, and DECREED by the Court as follows: 1 . That the petition is hereby granted. 2 . That the fnal account of the personal representative(s) herein is approved. 3 . That decedent’s last will duly executed on ____________________, 20_____, and codicil or codicils thereto duly executed on _____________________, 20 _____, (is) (are) (hereby) (has or have been) formally probated and (is) (are) construed as above stated. 4 . That the heirs of the decedent are determined to be as set forth above. 5 . That the property of the decedent on hand for distribution is as above stated. 6 . That title to the personal and real property descried herein, subject to any lawful disposition heretofore made, is hereby assigned to and vested in the following named persons in the following proportions or parts: 7 . That the lien of inheritance taxes, if any, on the above described property is hereby waived. 8 . That any previous order determining testacy is hereby confrmed as it afects any previously omitted or unnotifed persons and other interested persons. Dated: _____________________________________ ______________________________________________ Judge (COURT SEAL) FILED: - 3 -