Enlarge image | File No. STATE OF NORTH CAROLINA In The General Court Of Justice County Superior Court Division Before The Clerk IN THE MATTER OF THE ESTATE OF Name Of Decedent PETITION AND ASSIGNMENT YEAR’S ALLOWANCE (For Decedents Dying On Or After March 1, 2024) Date Of Death G.S. 30-15, 30-17, 30-20 I am petitioning for an allowance for a year’s support for the person(s) named and state: 1. a. The decedent was domiciled in this county on the decedent’s date of death shown above. b. The decedent had no domicile in this State at the time of the decedent’s death, but personal property that belonged to the decedent at his or her death, which was on the date shown above, is located in this county. 2. a. No personal representative has been issued letters. b. A personal representative has been appointed and issued letters, and it has been less than six (6) months since the personal representative was issued letters. 3. a. The surviving spouse, if any, named below is entitled to an allowance from the personal property of the decedent of the value of sixty thousand dollars ($60,000), for a year’s support, and the spouse is not barred from seeking an allowance under G.S. 31A-1 or another applicable law.* b. The child(ren), if any, named below is/are entitled to an allowance of ten thousand dollars ($10,000) for a year’s year’s support, and the child(ren) is/are not barred from seeking an allowance under G.S. Chapter 31A or other applicable law.* 4. I request assignment of Sixty thousand dollars ($60,000) from the funds or other personal property of the decedent for a year’s support to the surviving spouse. Ten thousand dollars ($10,000) from the funds or other personal property of the decedent for a year’s support to each child named below. SPOUSE* ENTITLED TO ALLOWANCE Full Name Complete Address (including zip code) CHILD(REN)* ENTITLED TO ALLOWANCE Full Name Age of Child at Complete Address (including zip code) Decedent’s Death *NOTE: The right of the surviving spouse to file a claim for an allowance must be exercised during the lifetime of the surviving spouse (i) by the surviving spouse, (ii) by the surviving spouse’s agent under a durable power of attorney, or (iii), with approval of the court, by the guardian of the surviving spouse’s estate or general guardian. The spouse’s allowance takes priority over any child’s allowance. The right of a child to file a claim for an allowance must be exercised during the lifetime of the child. Every child of a decedent who is under the age of 21 years at the time of the decedent’s death, including an adopted child or a child in utero, and every child who is under the age of 21 years at the time of the decedent’s death with whom the decedent stood in loco parentis at the time of death is entitled to an allowance. The person entitled to file a petition on behalf of the child for a child’s allowance shall be in the following order of priority: (1) The general guardian or guardian of the estate of the child, if any. (2) The surviving parent of the child if the child resides with the surviving parent. (3) The person with whom the child resides. If the clerk of superior court determines that no person entitled to file a petition pursuant to this subsection is a fit or suitable individual, the clerk, upon the clerk’s own motion, may appoint another individual if the clerk determines that individual better represents the best interests of the child as the representative. A child’s allowance shall only be awarded after the full spouse’s allowance under G.S. 30-15 has been awarded. Name And Address Of Petitioner (type or print) Spouse Of Decedent Surviving Spouse’s Agent Under A Durable Power Of Attorney Guardian Of The Estate Or General Guardian Other: Original-File Copy-Petitioner Copy-Personal Representative Appointed For Estate (Over) AOC-E-100, Rev. 3/24 © 2024 Administrative Office of the Courts |
Enlarge image | VERIFICATION I, the undersigned petitioner, have read this Petition and state that its contents are true to my own knowledge except those matters stated on information and belief, which I believe are true. Date SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Date Signature Of Person Authorized To Administer Oaths Signature Of Petitioner Deputy CSC Assistant CSC Clerk Of Superior Court Date My Commission Expires Notary County Where Notarized SEAL NOTE TO PETITIONER: If a personal representative has been appointed for the decedent’s estate, a copy of the verified petition must be personally delivered or sent by first-class mail by the petitioner to the personal representative. AOC-E-100, Side Two, Rev. 3/24 © 2024 Administrative Office of the Courts |
Enlarge image | Name Of Decedent File No. County ASSIGNMENT OF YEAR’S ALLOWANCE I have examined the above petition and have determined the money and other personal property of the decedent. I find that the allegations in the petition are true and that each person(s) named in the petition is entitled to the allowance requested. I ASSIGN to the petitioner the funds or other items of the personal property of the decedent listed below, which I have valued as indicated. This property is assigned free and clear of any lien by judgment or execution against the decedent and is to be paid by the petitioner to the person(s) entitled. I assess as a DEFICIENCY the amount, if any, shown below, which is to be paid or delivered to the proper person when any additional personal assets of the decedent are discovered. Personal Property Assigned Value TOTAL $ DEFICIENCY $ Date Signature Assistant CSC Clerk Of Superior Court SEAL NOTE TO CLERK: If a personal representative has been appointed for the decedent’s estate, the clerk of superior court shall provide a copy of any order awarding an allowance to the personal representative of the decedent’s estate. CERTIFICATION I hereby certify that the foregoing is a True and Correct copy of the report in the Assignment of Year’s Allowance in the matter of the above-referenced estate as recorded in this office and shall be sufficient to release the items listed as assigned to the surviving spouse or children of the deceased as provided under G.S. 30-15, 30-17, and 30-20. Date Signature Deputy CSC Assistant CSC Clerk Of Superior Court SEAL AOC-E-100, Page Two, Rev. 3/24 © 2024 Administrative Office of the Courts |