NOTICE: To be used with AOC- 850, Informal Final Settlement: Adavit, Motion and Order, when there is more
than one (1) beneciary.
IN RE: Estate of _________________________________________________________________________________
We, the undersigned beneciaries of the above estate, being under no legal disability unless noted, state under oath
that we consent to the Informal Settlement of the estate, hereby waiving requirements of KRS Chapter 395 regarding
settlement of duciaries’ accounts.
___________________________________________ ____________________________________________
___________________________________________ ____________________________________________
___________________________________________ ____________________________________________
___________________________________________ ____________________________________________
___________________________________________ ____________________________________________
___________________________________________ ____________________________________________
___________________________________________ ____________________________________________
___________________________________________ ____________________________________________
___________________________________________ ____________________________________________
___________________________________________ ____________________________________________
Case No. ____________________
Court _______________________
County ______________________
AOC-851 Doc. Code: WFS
Rev. 1-05
Page 1 of 1
Commonwealth of Kentucky
Court of Justice www.courts.ky.gov
KRS 395.605(2)
AFFIDAVIT OF WAIVER OF
FORMAL SETTLEMENT
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Subscribed and sworn to before me by beneciaries whose names are ________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
on _________________________, 2______. My commission expires: _________________________.
______________________________________________
Name/Title
NOTICE TO JUDGE: If one or more beneciaries is under a disability, you may allow the ling of an Informal Settlement if
you are of the opinion the best interests of the person under the disability would be served. KRS 395.605(3). You may require
Fiduciary to execute bond with or without Surety to insure application of estate assets to debts of Decedent. KRS 395.605(2).
District Probate