Person Filing:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
Lawyer’s Bar Number:
Licensed Fiduciary Number: ____________________________________
Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent
SUPERIOR COURT OF ARIZONA
MARICOPA COUNTY
In the Matter of the Estate of: Case Number: PB
INSTRUMENT OR DEED
OF DISTRIBUTION
an Adult a Minor, deceased
I was appointed Personal Representative of the Estate in this case on (date) to distribute
the property of the Estate as required by Title 14 of the Arizona Revised Statutes. I hereby assign, transfer and
release all right, title and interest to the following property to the following person(s):
1. PERSONS TO WHOM PROPERTY FROM THE ESTATE WAS GIVEN and
DESCRIPTION OF PROPERTY:
Name Address Legal Description
2. MONEY STILL OWED ON PROPERTY. Distribution of the property is subject to the following
liability: (If this applies to your case, describe the property, the amount of money still owed on the property,
why the property has not been paid for before or in connection with distribution and the closing of the estate,
and arrangements that have been made to accommodate outstanding liability; otherwise, write “none”)
Property Description:
Money Owed on Property:
Reasons Money Owed:
Arrangements to Pay:
FOR CLERK’S USE ONLY
© Superior Court of Arizona in Maricopa County PBIPF51f-042916
ALL RIGHTS RESERVED
DED
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