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
                                                                                                                           WAIVER OF
                                                                                        PERSONAL REPRESENTATIVE’S BOND

                                                                                                                                                 G.S. 28A-8-1(b)(6), (8)
I certify that I am an heir/devisee of the above named decedent, and I am over eighteen (18) years of age.

I waive the statutory requirement for bond for the personal representative named below of this estate, who resides in the State of North 
Carolina, and agree to relieve him/her from the necessity of giving the statutory bond. (NOTE: An express requirement in the will for a bond 
cannot be waived.)
Name Of Personal Representative

I understand that this means that there will be no bond to go against if the personal representative does not properly 
administer the estate and distribute the assets to the heirs. 

I have read this Waiver, and I fully understand its meaning and effect. I agree that the information in this filing is true to the best of my 
knowledge, information, or belief. I understand that, in some circumstances, persons who make false filings can be subject to legal 
penalties or sanctions and, depending on the situation, may be charged with a crime.
Date                                                                     Date

Name Of Heir/Devisee (type or print)                                     Name Of Heir/Devisee (type or print)

Signature Of Heir/Devisee                                                Signature Of Heir/Devisee

Date                                                                     DateDate

Name Of Heir/Devisee (type or print)Name Of Heir/Devisee (type or print) Name Of Heir/Devisee (type or print)Name Of Heir/Devisee (type or print)

Signature Of Heir/DeviseeSignature Of Heir/Devisee                       Signature Of Heir/DeviseeSignature Of Heir/Devisee

Date                                                                     Date

Name Of Heir/Devisee (type or print)                                     Name Of Heir/Devisee (type or print)

Signature Of Heir/Devisee                                                Signature Of Heir/Devisee

Date                                                                     Date

Name Of Heir/Devisee (type or print)                                     Name Of Heir/Devisee (type or print)

Signature Of Heir/Devisee                                                Signature Of Heir/Devisee

Date                                                                     Date

Name Of Heir/Devisee (type or print)                                     Name Of Heir/Devisee (type or print)

Signature Of Heir/Devisee                                                Signature Of Heir/Devisee

                                                                         Original - File
AOC-E-404, Rev. 9/21
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