14th Judicial Circuit · Official form · Guided questionnaire

Disposition of Personal Property Without Administration

The circuit's Disposition of Personal Property Without Administration form (§ 735.301 track).

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Form page 1

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Case_no

Deceased

Date

Petitioner

1. Petitioner, whose address is _________________________________________________________ ________________________________________

And_who_is_the

Of_the_decedent

Who_died_at

On_the

who died at __________________________________________ on the ______ day of _____________, 20____,

Day_of

A_resident_of

And_if_known_whose_age_was

______________________________________________________ __, and, if known, whose age was _______

[ __ ] The decedent left no will

The_decedents_will_was_deposited_with_the_clerk_on

[ __ ] The decedent left no will

__________________________________________________________________________________________ _______________________________________

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Form page 2

Items appear in the order they appear on the official form.

EXEMPT: _________________________________________________________________________ ________________________________________________

NON-EXEMPT

________________________________________________________________________________

______________________________________________________________________________________ ___________________________________________

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Form page 3

Items appear in the order they appear on the official form.

__________________________________________________________________________________________ _______________________________________

I know of no other assets or debts of the decedent except

Print_Name

Address

Telephone

By: ___________________________________________ Deputy Clerk

Page 3 of 3

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