Free Microsoft Word - 410PC_pdf.dot - South Carolina

STATE OF SOUTH CAROLINA COUNTY OF: IN THE MATTER OF: Personal Representative(s):

) ) ) ) ) )

IN THE PROBATE COURT PROPOSAL FOR DISTRIBUTION CASE NUMBER:

Name and Address of Distributee

Amount or Item

Executed this Signature: Name: Address: Telephone (O): (H):

day of Signature: Name: Address: Telephone (O): (H):

, 20

.

FORM #410PC (1/91) 62-3-1001, 62-3-1002, 62-3-1003