Fillable Form 396.095: Petition/order to disPense With AdministrAtion AOC-830 (Administrative Office of the Courts)

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Form 396.095: Petition/order to disPense With AdministrAtion AOC-830 (Administrative Office of the Courts)

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Case No. ____________________
Court ____________________
County ____________________
Division ____________________
District/Probate
AOC-830 Doc. Code: PDA & ODA
Rev. 12-16
Page 1 of 2
Commonwealth of Kentucky
Court of Justice www.courts.ky.gov
KRS 391.030; 394.145; 395.455;
396.095
Petition/order to disPense
With AdministrAtion
(Surviving Spouse/Children/Preferred Creditor)
IN RE: Estate of _______________________________________________________________________
Address: ________________________________________ Date of Death: _____________________________
________________________________________
________________________________________
Date of Birth: _____________________________ Social Security Number: ____________________________
PETITION
ComesthePetitioner,beingrstdulysworn,andstatesasfollows:
1. Decedent died [ ] testate [ ] intestate with residence at the above listed address and on the above date.
2. At the time of death, decedent left no estate to be administered with the exception of the following assets (include
value for each asset listed): _____________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
3. In relation to the above named decedent, I am the (check all that apply) [ ] surviving spouse [ ] only surviving child
[ ] surviving child whose surviving siblings have signed a waiver herein or attached a waiver [ ] preferred
creditor [ ] preferred creditor of the decedent whose surviving spouse has signed a waiver herein or attached a
waiver [ ] assignee of the preferred creditor.
4. [ ] (check if applicable) Petitioner applies for Probate of Decedent's Will,ledherewith,whichishis/herLastWilland
Testament.
5. As a preferred creditor/assignee of decedent, I have paid the following claim(s) against the estate in the following order
Claim Payee Amount
a. Cost and Expenses of Administration __________________________________ ____________
b. Funeral expenses __________________________________ ____________
c. Debts and taxes with preference
underfederalandKentuckyLaw __________________________________ ____________
d. Other __________________________________ ____________
6. I certify that there has been no previous administration of decedent's estate within Kentucky or elsewhere.
(Name of Decedent)
(attach receipts):
Subscribed and sworn before me by petitioner on _________________________________, 2_______.
My commission expires _____________________.
_____________________________________________________
Name/Title
Because the exemption given to the above surviving spouse/child(ren) and/or claim(s) of the above preferred creditor/
assignee equals or exceeds the value of the above estate asset(s), I ask this Court to dispense with the administration of the
above estate and to transfer the above personal property to me or my designee, ________________________________.
____________________________________ _______ _____________________________________________
Name of Surviving Spouse Waiving Preference Age Signature of Surviving Spouse Waiving Preference
(Please Print) (If Petitioner is not Decedent’s Spouse)
Address/P.O. Box Address: _________________________________________________________________________
_______________________________________________________________________________________________
_____________________________________________ ____________________________________________
Signature of Surviving Child Waiving Preference Signature of Surviving Child Waiving Preference
__________________________________________
Petitioner’s Signature
Address: _______________________________________________________________________________________
_______________________________________________________________________________________________
Phone Number: __________________________________
ORDER
[ ] Upon hearing, the Will offered was proven by ______________________________ and ORDERED PROBATED
astheLastWillandTestamentofDecedentthis_________dayof__________________________________,2________.
The Will shall be probated only and no letters of administration shall be issued.
Uponveriedpetitionoftheabovepetitioner, IT IS HEREBY ORDERED that the petition be granted to dispense
with the administration of the estate of the above decedent, and the above personal property is transferred to petitioner
or his/her designee, _____________________________________________________________________________.
________________________________, 2_______ ____________________________________________
Date Judge’s Signature
AOC-830
Rev. 12-16
Page 2 of 2
CERTIFICATE
I certify that this petition and order were prepared in accordance with CR 11.
___________________________________________ _____________________________________________
Attorney for Petitioner Address and Phone Number
Distribution: Court File
Petitioner
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Form 396.095: Petitionorder to disPense With AdministrAtion AOC-830 (Administrative Office of the Courts)

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Completed 3 September 2020

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