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PET
_____________________________
(Name)
_____________________________
(Address)
_____________________________
(City, State, Zip Code)
_____________________________
(Telephone number/E-mail Address)
Petitioner, In Proper Person
EIGHTH JUDICIAL DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Estate of:
_______________________________________,
Deceased.
Case No.: P
Dept. No.: PC-1
EX PARTE PETITION FOR ORDER TO OPEN SAFE DEPOSIT BOX
Petitioner, (your name) ___________________________________________, (hereinafter
“Petitioner”) appearing in Proper Person, respectfully alleges and shows as follows:
1. Petitioner files this request pursuant to Nevada Revised Statutes 136.060, and
requests that this Court enter an order authorizing (name of financial institution holding safe deposit box)
________________________ to open the safe deposit box rented by (name of person who passed
away)
_______________________________ (hereinafter “Decedent”) in the presence of
Petitioner, for the purpose of inventorying the contents of the box and ascertaining if the Last
Will of Decedent is contained inside the safe deposit box.
2. Petitioner is the (your relation to the decedent) ___________________ of Decedent and
resides at (your address) _____________________________________________________________.
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A copy of Petitioner’s identification is attached hereto as Exhibit A.
3. Decedent died on the (day, month, and year of death) ____________________________, in
(county where the decedent died) _________________________ and, on the date of death, Decedent was a
resident of Clark County, Nevada. A certified copy of Decedent’s death certificate is attached
herein as Exhibit B.
4. The names, relationships, ages, and residence addresses of all the devisees,
legatees, heirs, and next-of-kin of Decedent, so far as known to Petitioner, are:
(You must include the name, relationship, age (if under 18), and address of (1) decedent’s legally married spouse, (2) all decedent’s children; (3)
all other devisees, legatees, heirs, and next-of kin. List all persons, regardless of age, even if estranged or out of state. Include all addresses; if
unknown, include last known address or state “unknown.”)
Name
Relationship to
Decedent
Age
(If under 18, list age; if over 18,
write “adult.”)
Address
Check here if you have more people to include, and attach a continuation sheet.
5. The devisees, legatees, heirs, and next-of-kin of Decedent who are listed above
either consent to the opening of the safe deposit box, and I have attached the appropriate
Consents to Open and Inventory Safe Deposit Box herein; or they have not consented, and an
Affidavit in Support of Petition for Order to Open Safe Deposit Box explaining their lack of
consent is herein attached as Exhibit C.
6. That on information and belief, Petitioner alleges that Decedent, at the time of
death, was the holder of a safe deposit box at (name of financial institution where safe deposit box is)
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____________________________________________________ located at (address of financial institution)
_____________________________________________________________________________.
The box number is (box number) __________________ and the location of the key is (location of key):
___________________________________________________________. Petitioner believes
that Decedent may have executed a Last Will and Testament, but that same has not been located
among the Decedent’s personal effects, and would most probably be in the Decedent’s safe
deposit box.
WHEREFORE, Petitioner prays:
1. That the Court make and enter its order directing the officers of (name of financial
institution)
________________________________________ to open the safe deposit box rented by
Decedent, in the presence of Petitioner, for the purpose of inventorying the contents of the box
and ascertaining if the Last Will of Decedent is contained therein; and
2. If such Will is found, directing that it be removed by Petitioner and deposited
with the Clerk of this Court, and that such safe deposit box be then re-locked until such time as
further ordered by the above-entitled Court.
DATED THIS _____ day of _______________, 20___.
Respectfully submitted,
_____________________________
(signature)
_____________________________
(Your name)
_____________________________
(Your address)
_____________________________
(Your city, state, and zip)
_____________________________
(Your phone number)
_____________________________
(Your email)
PETITIONER, IN PROPER PERSON
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VERIFICATION IN SUPPORT OF
PETITION FOR ORDER TO OPEN SAFE DEPOSIT BOX
STATE OF NEVADA )
)ss
COUNTY OF CLARK )
(Your name) ________________________, being first duly sworn, declares under penalty of
perjury under the law of the State of Nevada that the foregoing and following is true and correct:
I am the Petitioner in the above-entitled action. I have read the foregoing Ex Parte
Petition for Order to Open Safe Deposit Box, and know the contents thereof. The Petition is true
of my own knowledge except as to those matters that are stated on information and belief, and as
to those matters, I believe them to be true.
DATED THIS _____ day of _______________, 20___.
_____________________________
(signature)
_____________________________
(Your name)
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_____________________________
(Name)
_____________________________
(Address)
_____________________________
(City, State, Zip Code)
_____________________________
(Telephone number/E-mail Address)
In Proper Person
EIGHTH JUDICIAL DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Estate of:
______________________________________,
Deceased.
Case No.: P
Dept. No.: PC-1
CONSENT TO OPEN AND INVENTORY SAFE DEPOSIT BOX
COMES NOW (your name) __________________________, (state your relationship to the Decedent)
________________________________, whose address is
(your address)
___________________________________________________, being first duly sworn, declare
under penalty of perjury that I am aware of the Ex Parte Petition for Order to Open Safe Deposit
Box filed by
(name of person who filed the petition) __________________________ requesting authority to
open and inventory the contents of a safe deposit box owned by the decedent located at (name and
address of financial institution where safe deposit box is) _____________________________________________________________________
_____________________________________________________________________________.
I FURTHER ACKNOWLEDGE that I am in agreement with the request to open and
inventory the safe deposit box.
DATED THIS _____ day of _______________, 20___.
Respectfully submitted,
_____________________________
(signature)
_____________________________
(Your name)
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ORDR
_____________________________
(Name)
_____________________________
(Address)
_____________________________
(City, State, Zip Code)
_____________________________
(Telephone number/E-mail Address)
Petitioner, In Proper Person
EIGHTH JUDICIAL DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Estate of:
_______________________________________,
Deceased.
Case No.: P
Dept. No.: PC-1
EX PARTE ORDER TO OPEN SAFE DEPOSIT BOX
The Court, upon reading the verified ex-parte petition of (your name) __________________,
and good cause appearing therefore:
IT IS HEREBY ORDERED, ADJUDICATED AND DECREED:
1. That the Officers of the (name of financial institution) _____________________________
located at (address of financial institution) _______________________________________, shall open the
safe deposit box rented by Decedent, (name of Decedent) ________________________, in the presence
of Petitioner, (your name) ________________________, and the officers of the bank for the purpose
of inventorying the contents of the box and to place a copy of the inventory in said safe deposit
box, and ascertaining if the Last Will and Testament of the Decedent is contained therein;
2. That a copy of the inventory of the contents of the safe deposit box shall be filed
with the Clerk of the above Court; and
/ / /
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3. That if the Last Will and Testament of the Decedent is found therein, Petitioner,
(your name) ________________________, is directed to remove such Last Will and Testament and
file the same with the Clerk of the above Court, and such safe deposit box shall then be re-locked
and remain locked until further ordered by the Court.
DATED this ____ day of ___________, 20_____.
_______________________________
DISTRICT COURT JUDGE
Respectfully submitted,
_____________________________
(Signature)
_____________________________
(Your name)
PETITIONER, IN PROPER PERSON
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EXHIBIT A
(Petitioner’s Identification)
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EXHIBIT B
(Death Certificate)
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EXHIBIT C
(Consents and/or Affidavits in Support of Petition)
County, Nevada
Case No.
I. Part
y
Information
(provide both home and mailing addresses if different)
Plaintiff(s) (name/address/phone): Defendant(s) (name/address/phone):
Attorney (name/address/phone): Attorney (name/address/phone):
II. Nature of Controvers
y
(please select the one most applicable filing type below)
Landlord/Tenant Negligence Other Torts
Unlawful Detainer Auto Product Liability
Other Landlord/Tenant Premises Liability
Intentional Misconduct
Title to Property
Other Negligence
Employment Tort
Judicial Foreclosure Malpractice
Insurance Tort
Other Title to Property Medical/Dental Other Tort
Other Real Property Legal
Condemnation/Eminent Domain Accounting
Other Real Property Other Malpractice
Probate
(select case type and estate value)
Construction Defect Judicial Review
Summary Administration Chapter 40 Foreclosure Mediation Case
General Administration Other Construction Defect Petition to Seal Records
Special Administration Contract Case Mental Competency
Set Aside Uniform Commercial Code Nevada State Agency Appeal
Trust/Conservatorship Building and Construction Department of Motor Vehicle
Other Probate Insurance Carrier Worker's Compensation
Estate Value Commercial Instrument Other Nevada State Agency
Over $200,000 Collection of Accounts Appeal Other
Between $100,000 and $200,000 Employment Contract Appeal from Lower Court
Under $100,000 or Unknown Other Contract Other Judicial Review/Appeal
Under $2,500
Civil Writ Other Civil Filing
Writ of Habeas Corpus Writ of Prohibition Compromise of Minor's Claim
Writ of Mandamus Other Civil Writ Foreign Judgment
Writ of Quo Warrant Other Civil Matters
Signature of initiating party or representative
Civil Writ Other Civil Filing
Date
Business Court filings should be filed using the Business Court civil coversheet.
DISTRICT COURT CIVIL COVER SHEET
(Assigned by Clerk's Office)
See other side for family-related case filings.
Probate
TortsReal Property
Construction Defect & Contract Judicial Review/Appeal
Civil Case Filing Types
N
evada AOC - Research Statistics Uni
t
Pursuant to NRS 3.275
Form PA 201
Rev 3.1