GPCSF 17 [i] Eff. July 2017
PETITION FOR LEAVE TO CONVEY OR ENCUMBER PROPERTY
PREVIOUSLY SET ASIDE AS YEAR’S SUPPORT
INSTRUCTIONS
I. Specific Instructions
1. This form is to be used when p etitioning for leave to convey or encumber property set
aside as year’s support, pursu ant to O.C.G.A. § 53-3-20.
2. This form is prepared on the assumption that the surviving spou se is the Petitioner. If
this is not the case, modify the form accordingly. The Petitio n may be brought either
by a surviving s pouse who participated in the award or by the guardian of the property
of a minor child who participated in the award.
3. A recent appraisal should be used if available; otherwise, a copy of the most recent ad
valorem tax statement should be provided. If the appraised val ue or tax value is higher
than the selling price, explain the discrepancy on an additiona l sheet, and add a
reference to this in Paragraph 5 of the petition. In addition, if there is a sales contract,
a copy of the contract should be a ttached to this Petition as an exhibit.
4. 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 may 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.
5. Use Supplement 3 when an addition al certificate of service is necessary.
6. Exhibits should be labeled at the bottom of each exhibit as Exh ibit “A,” Exhibit “B,”
etc. in consecutive order. The corresponding letter of each sai d exhibit should be
inserted into the appropriate place in the form.
7. Necessity for Filing; Venue
a. Pursuant to O.C.G.A. § 53-3-19, it is not necessary to obtain P robate Court
approval if the children for whom the award was made who are no w sui juris
will join in the conveyance or encumbrance, unless at least one of the children
for whom the award was made is still a minor.
b. Venue: The petition must be filed in the county where the year’ s support award
was originally granted. O.C.G.A. § 53-3-19 (b).
8. Method of Service pursuant to O .C.G.A. § 53-3-20 is required.
a. Adult children for whose benefit the year’s support was set apa rt with known
addresses in this state who do not acknowledge service shall be served
personally not less than ten (10) days prior to the date set for hearing.
GPCSF 17 [ii] Eff. July 2017
b.
Signatures of those who acknowledg e service must be sworn to before a notary
public or the Clerk of any Probate Court of this state. An atto rney at law may
acknowledge service on behalf of his/her client; however, the a ttorney must
certify that he or she currently represents that individual wit h 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 as provided above. It is not necess ary that all
acknowledgments appear on the same page
c. Adult children for whose benefit the year’s support was set apa rt with unknown
addresses or residing out of s tate who do not acknowledge servi ce shall be
served by:
i. Publication of notice in the legal organ one (1) time not less than ten
(10) days prior to the da te set for hearing;
ii. Posting of notice at the courthouse not less than ten (10) days prior to
the date set for hearing; and
iii. Mailing by first-class mail a copy of the notice to the last known address not less than ten (10) days prior to the date set for hearing.
d. 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 appoint a
guardian ad litem or determine that the natural guardian, guard ian, conservator,
or testamentary guardian has no conflict and may serve. Should a guardian ad
litem be necessary because a party i s not sui juris, use Supplement 1.
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, labele d GPCSF 1.
GPCSF 17 [1] Eff. July 2017
IN THE PROBATE CO
URT OF _________________COUNTY
STATE OF GEORGIA
IN RE: ESTATE OF ) )
________________________________, ) ESTATE NO. _____________
DECEASED )
PETITION FOR LEAVE TO CONVEY OR ENCUMBER
PROPERTY PREVIOUSLY SET ASIDE AS YEAR’S SUPPORT
The Petition of ___________________________________________________________, [Full name(s) of Petitioner(s)] First Middle Last
whose physical address(es) is/are _____________________________ _____________________,
Street City County State Zip Code
and mailing address(es) is/are ________________________________ _____________________,
Street City County State Zip Code
and being the _____________ of the above-named decedent, shows to the Court the following: Relationship
[Note: The petition may be brought eith er by a surviving spouse who participated in the award or by the guardian of
the property of a minor child wh o participated in the award.]
1.
___________________________________ ____________________________________,
[Full name of decedent] First Middle Last
whose place of domicile was ___________________________________ __________________,
Street City County State Zip Code
departed this life on ________________________, 20_____.
2.
On ________________, 20________, the Probate Court of this Coun ty awarded a year’s
support to the Petitioner and the following child(ren) of said decedent:
Last Known Address Present
Name Current Address (if current unknown) Age
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
GPCSF 17 [2] Eff. July 2017
3.
The year’s support award included the following described real estate located in
____________________________________ County, Georgia (the same being recorded in
_______________________ County Probate Court). A complete legal description of such real property is:
4.
It is necessary for Petitioner to (convey) (encumber) said prop erty for the purpose of:
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
5.
The nature and terms of said (conv eyance) (encumbrance) are as follows:
[Initial (a) or (b)]
______ (a) Sale according to the conditions and terms of the co ntract.
______ (b) Encumbrance of the real property to secure a loan in the principal amount of
$____________________, the interest rate being __________% per annum, and to be
repaid at the rate of $_________________ per month for ____ mon ths; if needed,
Petitioner will execute a deed to secure debt for the purpose o f securing the loan.
Attached hereto as Exhibit __ is a copy of the contract for, sale, lien, or encumbrance of
real estate.
Attached hereto as Exhibit __ is a copy of the most recent ad v alorem tax or appraisal
showing the current value of the property to be $______________ __________________.
GPCSF 17 [3] Eff. July 2017
6.
With respect to any child named in Paragraph 2 above whose curr ent address is shown as
“unknown,” Petitioner certifies that the current address is unk nown to Petitioner and cannot be
easily ascertained, and that the last known address for any suc h person is listed in Paragraph 2.
7.
Of the children named in Paragraph 2 above, ___________________ ________________
______________________________________________________________________________
is/are still under the age of 18, and must have a guardian ad litem appointed to represent
him/her/them. WHEREFORE the petitioner pray s in accordance with O.C.G.A. § 53 -3-20:
1. That a hearing be set on this petition;
2. That a guardian ad litem be a ppointed to represent the minor children concerned; and
3. That the petition be granted a fter notice as required by la w.
____________________________________
Signature of Petitioner ____________________________________
Printed Name ____________________________________ ____________________________________ Mailing Address ____________________________________
Telephone Number Signature of Attorney ______________________________________________________
Printed Name of Attorney ______________________________________ ________________
Address ______________________________________________________
______________________________________________________
Telephone Number __________________ State Bar # ______________ ___________
GPCSF 17 [4] Eff. July 2017
VERIFICATION
GEORGIA, __________________ COUNTY
Personally appeared before me the undersigned Petitioner who, a fter being duly sworn,
states that the facts set forth in the foregoing Petition for L eave to Convey or Encumber Property
Previously Set Aside as Year’s S upport heretofore awarded from the estate of the above decedent
as year’s support (and the attach ed 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 17 [5] Eff. July 2017
NOTICE
THE FOLLOWING PAGES ARE TO BE
COMPLETED BY THE PETITIONER (MOVING PARTY) UNLESS OTHERWISE DIRECTED BY THE COURT.
SEE PROBATE COURT RULE 5.6 (A).
GPCSF 17 [6] Eff. July 2017
IN THE PROBATE CO
URT OF _______________________ COUNTY
STATE OF GEORGIA
IN RE: ESTATE OF ) )
___________________________________ , ) ESTATE NO. ____________
DECEASED )
PETITION FOR LEAVE TO CONVEY OR ENCUMBER PROPERTY PREVIOUSLY SET ASIDE AS YEAR’S SUPPORT
ORDER FOR SERVICE OF NOTICE
The foregoing Petition having been read and considered, let notice issue and be served
personally pursuant to O.C.G.A. § 53-11-3 upon all children with known addresses who are age
18 or over and have not acknowledged service. If there are any children whose current addresses
are unknown who are age 18 or over and have not acknowledged service, then the following notice shall be published on e (1) time at least ten (10) days prior to the hearing, and a copy of the notice
shall be posted at the Courthous e and mailed by first-class mail to the last known addresses of any
such children at least ten (10) da ys prior to the date set for the hearing.
This _______ day of __________, 20____. _______________________________________
Judge of the Probate Court
GPCSF 17 [7] Eff. July 2017
IN THE PROBATE CO
URT OF _______________________ COUNTY
STATE OF GEORGIA
IN RE: ESTATE OF ) )
___________________________________ , ) ESTATE NO. ____________
DECEASED )
PETITION FOR LEAVE TO CONVEY OR ENCUMBER PROPERTY PREVIOUSLY SET ASIDE AS YEAR’S SUPPORT
NOTICE
To: ___________________________________________________________ _____________
_____________________________________________ and to whom it ma y concern:
A Petition has been filed seeking an Order of this Court granti ng leave to (convey)
(encumber) certain property heretofore set apart from the estat e of the above-named decedent as
year’s support. This is to notify those persons named above wh o are not required to be personally
served that they must file their response to the Petition with the Court on ____________________
__________, 20____, and the persons who are required to be pers onally served are:
______________________________________________________________________________
[List children with known addresses.]
and they must file their response by the above date or the tent h (10th
) day after they are personally
served, whichever is later.
BE NOTIFIED FURTHER : All objections to the Petition must be in writing, setting fo rth
the grounds of any such object ions. All objections should be s worn 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 (h eld on _____________________,
20_____) (scheduled at a later date). If no objections are fil ed, the Petition may be granted without
a hearing. _________________________ ____________
Judge of the Probate Court
By: _________________________________
Clerk of the Probate Court
GPCSF 17 [8] Eff. July 2017
IN THE PROBATE CO
URT OF _______________________ COUNTY
STATE OF GEORGIA
IN RE: ESTATE OF ) )
___________________________________ , ) ESTATE NO. ____________
DECEASED )
CERTIFICATE OF SERVICE
[Notice should be given to all interested parties and the Personal Representative, if one has been appointed, of the
Decedent’s estate and the Tax Commissioner for any County in which the Decedent owned property must be listed
here.]
I certify that I have this date mailed ( unless otherwise noted) in an envelope with the
proper postage affixed thereto fo r first-class mail delivery copies of the
_____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ to the follo wing parties at the add resses below:
This _______ day of ________________, 20____.
____________ _____________ ____________
Clerk of the Probate Court ____________ _____________ ____________
____________ _____________ ____________
Address ____________ _____________ ____________
Telephone Number
GPCSF 17 [9] Eff. July 2017
IN THE PROBATE CO
URT OF _______________________ COUNTY
STATE OF GEORGIA
IN RE: ESTATE OF ) )
___________________________________ , ) ESTATE NO. ____________
DECEASED )
ACKNOWLEDGMENT OF SERVICE AND CONSENT BY ADULT CHILDREN
I hereby acknowledge service of the Petition of _______________ _________________
for leave to sell or encumber the property set apart as year’s support to the persons shown in the
petition. I am over 18 years of age and suffer no mental disab ility. I hereby consent to the granting
of the petition, and I agree th e Petitioner should be allowed t o make the (encumbrance)
(conveyance).
Sworn to and subscribed before me this
______ day of _______________, 2 0_____ ________ _____________________________
Signature
___________________________________ _____________________________________
NOTARY/CLERK OF PROBATE COURT Printed Name
My Commission Expires ________________
--------------------------------------------------------------- ------------------------------------------ ------------
Sworn to and subscribed before me this
______ day of _______________, 2 0_____ ________ _____________________________
Signature
___________________________________ _____________________________________
NOTARY/CLERK OF PROBATE COURT Printed Name
My Commission Expires ________________
--------------------------------------------------------------- ------------------------------------------ ------------
Sworn to and subscribed before me this
______ day of _______________, 2 0_____ ________ _____________________________
Signature
___________________________________ _____________________________________
NOTARY/CLERK OF PROBATE COURT Printed Name
My Commission Expires ________________
GPCSF 17 [10] Eff. July 2017
IN THE PROBATE COURT OF _______________________ COUNTY
STATE OF GEORGIA
IN RE: ESTATE OF ) )
___________________________________ , ) ESTATE NO. ____________
DECEASED ) ORDER
The Petition of ______________________________________________ ____, praying for
leave to (convey) (encumber) certain real property heretofore a warded from the estate of the above
decedent as year’s support, having been read and considered, an d it appearing to the Court that
notice was duly issued and served as required by law; it furthe r appearing that a guardian ad litem
was duly appointed to represent the interests of the minor chil d(ren) __________________
____________________________________________________ who are st ill under the age of 18,
who has made answer thereto ap proving the proposed transaction; it also appearing that no
objections have been filed in this matter, and that it is neces sary and in the best interests of the
minor child(ren) _________________________________________ stil l under the age of 18 that
said real property be (conveyed) (encumbered) as set forth in t he petition;
IT IS ORDERED that said petition to (convey) (encumber) be, an d the same is hereby,
GRANTED.
This ____ day of _____________, 20____. _______________________________________
Judge of the Probate Court
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