STATE OF SOUTH CAROLINA ) COUNTY OF: IN THE MATTER OF:
) ) ) ) ) )
IN THE PROBATE COURT APPLICATION/PETITION FOR APPOINTMENT OF SPECIAL ADMINISTRATOR CASE NUMBER:
Applicant/Petitioner: Address: Telephone: 1. Nature of interest of undersigned:
2.
Informal Proceeding Appointment of a special administrator is requested: to protect the estate prior to the appointment of a general Personal Representative. because of the termination by death or disability of previously appointed Personal representative. , the
for a creditor to enforce a security interest upon property of the estate or to institute proceedings to establish the decedent's liability to the extent of the limits of insurance protection only. Formal Proceeding Appointment of a special administrator is requested to preserve the estate and to secure the estate and to secure the estate's proper administration. 3. Explanation:
Executed this
day of Signature:
Name:
Address:
, 20
.
E-mail: Telephone (O): (H): Attorney: Address: Telephone:
FORM #332PC (2/2004) 62-3-203(g), 62-3-614b, 62-3-616, 62-3-617, 62-3-618 Page 1 of 2
ORDER FOR HEARING IT IS HEREBY ORDERED that a hearing on this matter be set for: DATE: TIME: PLACE: Pursuant to SCPC Section 1-401, the petitioner is ordered to give notice of this hearing to all interested persons at least twenty (20) days prior to the hearing date. Executed this day of , 20 . , Probate Court Judge
ORDER OF APPOINTMENT be IT IS HEREBY ORDERED that the above application for appointment of Special Administrator in the above estate GRANTED DENIED as follows:
RESTRICTIONS:
Executed this
day of
, 20
. , Probate Court Judge
QUALIFICATION AND STATEMENT OF ACCEPTANCE I accept appointment and agree to perform the duties and discharge the trust of the office of Special Administrator/ . Personal Representative of the estate of SWORN to before me this , 20 day of Signature:
Name:
Address:
E-mail:
Telephone (O):
(H):
Notary Public for South Carolina My Commission Expires:
FORM #332PC (2/2004)
Page 2 of 2