Fill and Sign the Petition Representation Form

IN THE _________________ (Name of Court) OF _________________ (Name of County), ___________________ (Name of State) IN THE MATTER OF THE ESTATE OF __________________ , DECEASED CAUSE NO. _____________ (Name of Decedent) Petition for Representation of a Probate Estate’s Insolvency Comes now ___________________ (Name of Petitioner) , and would show unto this Honorable Court the following matters and facts, to-wit: 1. Petitioner is the __________________ (Executor or Administrator) of the Estate of ___________________ (Name of Decedent) , the D ecedent, late of ______________________ _____________________________________________________ (street address, city, state, zip code) . Petitioner was appointed as _________________ (Executor or Administrator) by Order of this Court on ________________ (date) . 2. The debts claimed as owed by Decedent at the time of his death, as set forth in Schedule A , attached, amount to $ _____________ . 3. The necessary funeral expenses, family allowance made by the Court, and charges of administration, including future probable charges, as set forth in Schedule A amount to $ _____________ . 4. All the estate of Decedent known to be chargeable with the payment of the above- mentioned debts and obligations is set forth in Schedule A . The (estimated or appraised) value of the estate is $ _____________ . 5. Petitioner believes that the Estate is insolvent , for the reason that (state reason) ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________. 6. The names, ages, and residences and relationships to Decedent of the heirs and/or distributees of Decedent are as follows: Name Address Relationship to Decedent Age (If a Minor) ______________ _______________ ___________________ _____________ ______________ _______________ ___________________ _____________ ______________ _______________ ___________________ _____________ WHEREFORE, Petitioner requests that this Court enter a Decree declaring that the Estate of ___________________ (Name of Decedent) , deceased, is an insolvent estate; And Petitioner prays for general relief. Respectfully submitted, ____________________________ (Printed Name of Petitioner) ____________________________ (Signature of Petitioner) ____________________________ (Name of Attorney for Petitioner) State Bar No. _____________ _____________________________________________ ________________________ (Address and Phone Number) Attorney for Petitioner (Oath may vary by state) STATE OF ____________________ COUNTY OF _____________________ Personally appeared before me, the undersigned authority at law in and for the aforesaid jurisdiction, the within-named __________________ (Name of Petitioner) , 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 as therein stated. ____________________________ (Printed Name of Petitioner) ____________________________ (Signature of Petitioner SWORN to and subscribed before me, this the _____ day of ______________, 20____. _____________________________________ Notary Public My Commission Expires: ___________________ Certificate of Service This is to certify that I, ___________________ (Name of Attorney) , attorney for Petitioner ____________________ (Name of Petitioner) , have this date served a true and correct copy of the above and foregoing Petition by U.S. Mail, postage fully prepaid, to the following counsel of record. (Name and Address of each Attorney served) _______________________________________________________ _______________________________________________________ ________________________________________________________ _________________________________________________________ This the ____day of _________________, 20______. Respectfully Submitted, ________________________ (Printed Name of Attorney) ________________________ (Signature of Attorney) Petitioner’s Attorney State Bar No. ____________ OF COUNSEL: __________________________ (Name of Attorney for Petitioner) State Bar No. ____________ _______________________________________________ _________________________ (Address and Phone Number) Attorney for Petitioner Notice of Petition for Representation of a Probate Estate’s Insolvency and Request for Examination of Creditors' Claims by Court You are notified that on ________________ ( date) , at _________ (time) , or as soon thereafter as counsel can be heard, in Courtroom _________ of the _____________Court for ______________ County, _______________ (State) , at the _______________ (County) Courthouse at ________________________________________________________________ ____________________________ (street address, city, county, state, zip code) , Petitioner ________________________ (Name of Petitioner) , by and through his attorney, will bring on for hearing his Petition for the reasons stated in the above Petition. Respectfully Submitted, ________________________ (Printed Name of Attorney) ________________________ (Signature of Attorney) Petitioner’s Attorney State Bar No. ____________ Certificate of Service This is to certify that I, __________________ (Name of Attorney) , attorney for Petitioner ______________________ (Name of Petitioner) , have this date served a true and correct copy of the above and foregoing Notice by U.S. Mail, postage fully prepaid, to the following counsel of record. (Name and Address of each Attorney served) _______________________________________________________ _______________________________________________________ ________________________________________________________ _________________________________________________________ This the ____day of ___________________, 20____. Respectfully Submitted, ________________________ (Printed Name of Attorney) ________________________ (Signature of Attorney) Petitioner’s Attorney State Bar No. ____________ OF COUNSEL: _________________________ (Name of Attorney for Petitioner) State Bar No. ______________ ______________________________________ _______________________ (Address and Phone Number) Attorney for Petitioner