THE STATE OF NEW HAMPSHIRE
Court Name: Case Name: Case Number:
MOTION FOR SUMMARY ADMINISTRATION
Executor/Administrator Name Mailing Address Executor/Administrator Name Mailing Address 1. 2. 3. The estate of the decedent has been open for at least 6 months. Yes No To the best of my knowledge and belief, there are no outstanding debts, obligations or unpaid or Yes No unresolved claims attributable to the deceased's estate. No New Hampshire estate or inheritance taxes are due; OR all applicable New Hampshire estate and inheritance taxes have been paid and a certificate from the department of revenue administration under RSA 86:32 and/or 87:25 has been filed with the court. Yes No No federal estate tax is due; OR the federal estate tax return has been filed and all taxes reported thereon have been paid. Yes Court supervision of the administration of the estate is no longer necessary. The administration of the estate will be completed without further court supervision in accordance with the decedent's will and applicable law. Yes Yes No No No No Telephone Telephone
4. 5. 6. 7.
Attached are either receipts or assents from all specific legatees, and assents from all other persons beneficially interested, as defined in RSA 550:12. Yes
I certify that a copy of this document has been provided to the parties who have filed an appearance for this case or who are otherwise interested parties.
Date Date Executor / Administrator (must be signed in presence of notarial officer) Executor / Administrator (must be signed in presence of notarial officer)
State of This instrument was acknowledged before me on
, County of by
Date Executor/Administrator(s) Signature of Notarial Officer / Title
My Commission Expires Affix Seal, if any
ORDER Motion for summary administration is granted. Motion for summary administration is denied.
(formerly AOC 234-003)
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