Fillable KRS 395.605 AFFIDAVIT, MOTION, AND ORDER (month, day, (Administrative Office of the Courts)

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KRS 395.605 AFFIDAVIT, MOTION, AND ORDER (month, day, (Administrative Office of the Courts)

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INFORMAL FINAL SETTLEMENT:
AFFIDAVIT, MOTION, AND ORDER
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AOC-850 Doc. Code: AFF & SETI
Rev. 2-17
Page 1 of 2
Commonwealth of Kentucky
Court of Justice www.courts.ky.gov
KRS 395.605
IN RE: Estate of __________________________________________________________________________________
Date of Death: ___________________________________ Social Security Number: _________________________
(month, day, year)
AFFIDAVIT/MOTION
Comestheafant,beingrstdulysworn,andstatesasfollows:
1. Sixmonthshavepassedsincemyappointmentasduciarytotheaboveestate.
2. q Iamsolebeneciary.
q Iamnotsolebeneciary,butIhaveattachedaveriedwaiverfromeachbeneciary(AOC-851). (No
veriedwaiverisrequiredofthe“nonresiduarylegatee,”abeneciarywhohasreceivedandreceipted
forhis/hersharepursuanttoaspecicwillprovision.Thecancelledcheckorsignedreceiptisattachedas
evidence of satisfaction.)
3. The estate is solvent.
4. q All legal claims and debts have been paid.
q All legal claims and debts have not been paid, but have been provided for in the following manner:
___________________________________________________________________________________
__________________________________________________________________________________.
5. All inheritance, estate or similar death taxes have been paid. A duplicate or photocopy of such tax releases is
attached, if available.
6. All court costs have been paid.
7. q My attorney's fee is _________________________. His/her name and address:
Name: _______________________________________________________________________
Address: _____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
q I do not have an attorney.
8. Eachbeneciaryhasreceived his/her share.
Case No. ____________________
Court ____________________
County ____________________
Division ____________________
I ask this Court to dispense with the requirements of KRS Chapter 395 regarding settlement of duciaries' accounts
and dispense with the requirements of a surety for the duciary and accept this informal settlement as nal settlement.
___________________________________________________
Afant
___________________________________________________
Address
___________________________________________________
___________________________________________________
___________________________________________________
Phone Number
______________________________________________, 2________.Subscribed and sworn to before me this
(day)(month) (year)
____________________________________________
Name/Title
ORDER
Upon the afdavit/motion of the above afant/duciary,
  IT IS HEREBY ORDERED that the requirements of KRS Chapter 395 regarding settlement of duciaries' accounts and
the requirements of a surety for the duciary are waived, the informal settlement is led, and the duciary (and surety, if any)
is discharged.
________________________________, 2_______ ____________________________________________
JudgeDate
NOTICE TO CLERK AND JUDGE: When a settlement is effected in the informal manner, no notice to any person shall
be required (for example, NO ADVERTISEMENT IS REQUIRED) nor shall the court be compelled to inquire into detailed
items of income or disbursements. KRS 395.605(1).
Original - Court File
Copy - Afant / Attorney
AOC-850
Rev. 2-17
Page 2 of 2
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KRS 395.605 AFFIDAVIT, MOTION, AND ORDER (month, day, (Administrative Office of the Courts)

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Completed 14 April 2022

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