Fill and Sign the Special Proceedings Form

STATE OF NORTH CAROLINA . File No.             County In the General Court of Justice Superior Court Division Name Of Petitioner 1       SPECIAL PROCEEDINGS ACTION COVER Name Of Petitioner 2       Rule 5(b) Rules of Practice for Superior and District Courts Name Of Petitioner 3       Attorney Bar No. VERSUS Name Of Respondent 1       Initial Appearance in Case Change of Address Summons Submitted Yes No Name Of Firm       Name Of Respondent 2       Tax ID/SSN (If SSN, Last Four Digits Only) Summons Submitted Yes No Telephone No.       FAX No.       Name Of Respondent 3       Summons Submitted Yes No       APPLICATION ( check appropriate box) Adoption (ADOP) Motor Vehicle Lien G.S. 44A (MVLN) Appointing Guardian Ad Litem (AGAL) Name Change (NAME) Amend (AMND) Assess Motion Fee (SEE NOTE) Partition (PART) Add Additional Party (ADOP) Assess Motion Fee Removal/Substitution of Trustee (RSOT) Attorney Fees (ATFE) No Motion Fee Assessed if sole Restoration of Competency (RTCO) Claim Minor/Incom Estate - Sale/Lease/Mortgage (MIES) To Determine Heirs (TDHE) Dec Estate — Sell Land To Create Assets (PESE) Transfer of Title (TOTL) Decedent’s Estate — Sell Prsnl Property (SLPS) Year’s Allowance — Spouse/Child (SSCA) Drainage — Individual/Corporation (DRNG) Other : (specify )       Drainage District — Establishment (DRDS)       Foreclosure (FORE)       Incompetency (INCM)       Land Registration — Torrens Act (TORR) Legitimation (LGMT) Lis Pendens (LISP) Minor’s Estate — Disburse Funds (DFNS) Date       Signature Of Attorney/Party NOTE: All filings in special proceedings shall include as the first page of the filing a cover sheet summarizing the critical elements of the filing in a format prescribed by the Administrative Office of the Courts, and the Clerk of Superior Court shall require a party to refile a filing which does not include the required cover sheet. (Over) AOC-SP-550, Rev. 6/11 © 2011 Administrative Office of the Courts No . Additional Petitioner(s)                                                                                                                                                             No. Additional Respondent(s) Tax ID/SSN (If SSN, Last Four Digits Only) Summons Submitted                   Yes No                   Yes No                   Yes No                   Yes No                   Yes No                   Yes No                   Yes No                   Yes No                   Yes No                   Yes No                   Yes No                   Yes No                   Yes No AOC-SP-550, Side Two, Rev. 6/11 © 2011 Administrative Office of the Courts