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                                          INSTRUCTIONS FOR PRELIMINARY INVENTORY
   ON SIDE TWO OF AFFIDAVIT FOR COLLECTION OF PERSONAL PROPERTY OF DECEDENT,
                                          FORMS AOC-E-203A and AOC-E-203B, Rev. 1/12 

THE CLERK IS THE JUDGE OF PROBATE AND CANNOT PRACTICE LAW OR GIVE LEGAL ADVICE.
ACCORDINGLY, THE CLERK'S STAFF CANNOT HELP  YOU FILL OUT THIS FORM.  PARTS OF THIS FORM ARE 
SELF-EXPLANATORY.  HOWEVER, FOR ANY NECESSARY ASSISTANCE, YOU SHOULD CONSULT AN ATTORNEY.
   Affidavit For Collection Of Personal Property Of Decedent, Forms AOC-E-203A and AOC-E-203B, Rev. 1/12 
Whether or not the decedent left a will, and regardless of the value of any real property owned by the decedent, if 1) the value of the decedent's personal 
property, less liens and encumbrances (and less the spousal allowance under G.S. 30-15 for a decedent dying on or after 1/1/12), does not exceed  
 $20,000 ($30,000 if the surviving spouse is the sole heir or devisee of the decedent), and 2) at least 30 days have passed since the date of death without 
anyone qualifying as personal representative, the estate may be administered by affidavit as a small estate pursuant to G.S. 28A-25-1 and  
G.S. 28A-25-1.1. An executor named in the will, an heir, devisee or creditor of the estate, with the approval of the Clerk of Superior Court, may file  
the necessary affidavit using this form, and thereby qualify as collector by affidavit of the estate.  Side Two of the form contains a preliminary listing of 
the assets of the estate.  This part of the form is intended as a preliminary report to the clerk, heirs and creditors of the nature and probable value of the 
property, real and personal, wherever located, owned by the decedent as of the date of death.

General Instructions:

Type or print neatly in black ink.

All values reported should be the fair market value of the item as of the date of death. If there is not sufficient space on this form, continue on a 
separate attachment.

Except where instructed to itemize, you should report in a lump sum the estimated total value of all property in each category.  A complete itemization
and valuation of decedent's property must be listed on the final Affidavit Of Collection, Disbursement and Distribution form (AOC-E-204) and filed 
with the clerk within three months after the filing of the initial affidavit (AOC-E-203A and AOC-E-203B).
  "Account" includes accounts in banks, savings and loans and other financial institutions, including money market accounts with brokerage 
   houses or similar institutions.
  "Joint Account With Right Of Survivorship" is an account in the name of two or more persons in which the deposit agreement (1) is signed by 
   all parties and (2) expressly provides that, upon the death of one of the joint depositors, the interest of the decedent passes to the survivor(s).
   Any joint account which is not "with right of survivorship" is a joint account without right of survivorship.
  "Stocks Or Bonds With Right Of Survivorship" are securities in which the certificate clearly states that upon the death of one of the joint 
   owners the interest of the decedent passes to the survivor(s).  Any jointly owned security which is not owned "with right of survivorship," is 
   owned without right of survivorship.
  "Securities Registered In Beneficiary Form" means stocks, bonds, or other securities officially registered with the issuer of the security 
   indicating the current owner of the security and the person who will automatically become the new owner of the security upon the death of the 
   owner." (See G.S. 41-40 et. seq.)
                                          PART I. PROPERTY OF THE ESTATE
1. Deposits In Sole Name Of Decedent - For each account, list the name of the institution, the account number and the balance on the date of death.
2. Joint Accounts Without Right Of Survivorship - For each account, list the name of the institution, the account number, and the name(s) of the 
   other joint owner(s).  If the percentage owned by the decedent can be determined, report that percentage and the value of that percentage.  If the 
   percentage owned by the decedent is unclear, report the percentage as 100%, and list the total amount on deposit on the date of death.  A copy of 
   the signature card or depository contract should be attached either to this form or the final Affidavit Of Collection, Disbursement And 
   Distribution (AOC-E-204).
3. Stocks And Bonds In Sole Name Of Decedent Or Jointly Owned Without Right Of Survivorship - If the percentage owned by the decedent can 
   be determined, report that percentage and the value, in a lump sum, of that percentage.  If the percentage owned is unclear, report the percentage 
   as 100%, and list the total value, in a lump sum, of all such stocks and bonds.  A detailed itemization of these assets must be reported in the final 
   Affidavit Of Collection, Disbursement And Distribution (AOC-E-204).
4. through 7.  These categories should be self-explanatory.
8. Interest in Partnership Or Sole Proprietor Businesses - Report all solely owned business interest and all partnerships in which the decedent was a 
   general or limited partner.  List the name of the business or partnership, the names of the surviving partners, the decedent's percentage interest in 
   that partnership, and the value of that partnership interest or business.
9. through 11.  These categories should be self-explanatory.

AOC-E-203 Instructions, Rev. 1/12                               (Over)
© 2012 Administrative Office of the Courts



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12. Real Estate Willed To The Estate - (NOTE: (a)  Real property willed to any person or entity other than the estate must be reported in Part II, 
   Item 5.  (b) If any real estate has been willed to the estate, a personal representative must be appointed.)  Indicate only real estate which the 
   decedent devised (willed) to his or her estate or to his or her executor in the capacity as executor (not as an individual). Usually, such a devise is
   accompanied by a direction to sell the real estate and distribute the proceeds as specified in the will.  A listing of all such properties, together 
   with an identification or legal description of each parcel or tract should be reported here, using fair market value as of the date of death.

13. Estimated Annual Income Of The Estate - Income of the estate includes, for example, interest on checking and other accounts opened in the 
   name of the estate, dividends and interest on stocks and bonds owned in the name of the estate, and other income to the estate.  Income of the 
   estate does not include interest on accounts, or dividends or interest on stocks or bonds, which pass directly to a surviving joint owner.

              PART II. PROPERTY WHICH CAN BE ADDED TO ESTATE IF NEEDED TO PAY CLAIMS
This part of the form is used to list certain kinds of property which the decedent owned or in which the decedent had an interest during his or her life 
time, which are not ordinarily part of the estate, but which may be recovered by the personal representative if the assets of the estate are not sufficient 
to pay all the debts of the decedent and claims against the estate.
1. Joint Accounts With Right Of Survivorship Under G.S.41-2.1 - List all joint accounts with right of survivorship.  For each account, list the name 
   of the financial institution, the account number, the names of the other joint owners, and the total balance on the date of death.  Attach a copy of 
   the signature card or depository contract of each such account to the form or to your final Affidavit Of Collection, Disbursement And Distribution
   (AOC-E-204).

2. Stocks/Bonds/Securities Registered In Beneficiary Form Or Jointly Owned With Right Of Survivorship. - A lump sum total of the value of all 
   such stocks or bonds should be reported here.  A detailed itemization of these assets must be reported in the final Affidavit Of Collection, 
   Disbursement And Distribution (AOC-E-204). It also includes securities registered in beneficiary form and immediately transferrable on death.

3. Other Personal Property Recoverable Under G.S. 28A-15-10 - This category includes accounts which are called "Trustee Accounts" in the 
   signature card or deposit agreement or in which the decedent otherwise established a "Tentative" or "Totten" trust; securities registered in 
   beneficiary form and automatically transferred on death; property which the decedent gave to someone in contemplation of his or her own death; 
   and property transferred by the decedent, without receiving adequate consideration, with the intent to hinder, delay or defraud his or her creditors.
    If you believe there may be any property which falls into this category, you may wish to consult an attorney.

4. Real Estate Owned By The Decedent And Not Listed Elsewhere - (NOTE: Real estate owned by the decedent and spouse as tenants by the 
   entireties should be reported in Part III.  Do not report real estate in which the decedent had an interest only for his or her lifetime.)  A detailed 
   listing of all other interests in real estate owned by the decedent together with an identification or legal description of each parcel or tract should 
   be reported here using fair market value as of the date of death.

                                              PART III. OTHER PROPERTY
This part of the form is used to list certain property, rights and claims which are not administered by the collector by affidavit as part of the decedent's
estate and which the collector cannot generally recover to pay debts of the decedent or claims against the estate.  However, this property may be 
included in the value of the "estate" for state or federal estate tax purposes, or which are listed for the information of heirs and others to whom the 
property may pass.
1. Entireties Real Estate - Indicate whether or not there is real estate jointly owned by the decedent and his or her surviving spouse as tenants by the 
   entireties.
2. Insurance, Retirement Plan, IRA, Etc., Payable To Persons Other Than the Estate - This category includes all life insurance proceeds, death 
   benefits under pension and retirement plans, and the balance remaining in IRA, 401(k) and other similar accounts which, at the death of the 
   decedent, pass to a beneficiary other than the estate. 

SIGNATURE - All applicants must sign.  The signature of each must be separately notarized before a notary public or acknowledged before 
the clerk, assistant, or deputy.

AOC-E-203 Instructions, Side Two, Rev. 1/12
© 2012 Administrative Office of the Courts






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