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PETITION FOR LETTERS OF ADMINISTRATION

IN THE CIRCUIT COURT OF [COUNTY] COUNTY, ARKANSAS
PROBATE DIVISION


TABLE OF CONTENTS

  1. Caption and Case Information
  2. Petitioner Information
  3. Decedent Information
  4. Basis for Jurisdiction
  5. Heirs at Law
  6. Grounds for Administration
  7. Prayer for Relief
  8. Verification
  9. Certificate of Service

1. CAPTION AND CASE INFORMATION

IN THE MATTER OF THE ESTATE OF:

[DECEDENT FULL LEGAL NAME], Deceased.

Case No.: [____________________________________]


2. PETITIONER INFORMATION

Name: [PETITIONER FULL LEGAL NAME]
Address: [STREET ADDRESS], [CITY], Arkansas [ZIP CODE]
County of Residence: [COUNTY]
Relationship to Decedent: [RELATIONSHIP]
Age: [____] years


3. DECEDENT INFORMATION

Field Detail
Full Legal Name [DECEDENT FULL LEGAL NAME]
Date of Birth [__/__/____]
Date of Death [__/__/____]
Age at Death [____]
Place of Death [CITY], [COUNTY] County, Arkansas
Last Domicile [STREET ADDRESS], [CITY], [COUNTY] County, Arkansas [ZIP CODE]
Social Security No. (last 4) XXX-XX-[____]
Marital Status at Death ☐ Married ☐ Single ☐ Widowed ☐ Divorced

4. BASIS FOR JURISDICTION

a. The Decedent was domiciled in [COUNTY] County, Arkansas at the time of death, establishing venue per Ark. Code § 28-40-104.

b. The Decedent died on [__/__/____].

c. The Decedent died intestate (without a valid Last Will and Testament).

d. ☐ After diligent search and inquiry, Petitioner is unaware of any will or codicil executed by the Decedent.

e. ☐ No prior petition for letters testamentary or administration has been filed.

f. ☐ Petitioner's application is within the priority time period established by Ark. Code § 28-48-101.


5. HEIRS AT LAW

The heirs at law under Arkansas intestate succession (Ark. Code § 28-9-204 et seq.):

Name Relationship Age / Minority Status Address
[________________________________] [____________] ☐ Adult ☐ Minor (age [____]) [________________________________]
[________________________________] [____________] ☐ Adult ☐ Minor (age [____]) [________________________________]
[________________________________] [____________] ☐ Adult ☐ Minor (age [____]) [________________________________]
[________________________________] [____________] ☐ Adult ☐ Minor (age [____]) [________________________________]

6. GROUNDS FOR ADMINISTRATION

a. The Decedent died possessed of property requiring administration in Arkansas.

b. Estimated value of the estate:

Asset Category Estimated Value
Real Property $[________________]
Personal Property $[________________]
Financial Accounts $[________________]
Other Assets $[________________]
Total Estimated Estate $[________________]

c. Petitioner is entitled to appointment under Ark. Code § 28-48-101 as [STATE PRIORITY BASIS].

d. Petitioner is not disqualified from serving as administrator; Petitioner is not a convicted and unpardoned felon and is not a corporation unauthorized to act as a fiduciary.

e. Petitioner is willing to post bond as required by Ark. Code § 28-48-201 et seq.


7. PRAYER FOR RELIEF

WHEREFORE, Petitioner respectfully prays:

a. This Court accept and file this Petition;

b. Notice be given as required by Ark. Code § 28-40-103;

c. The Court determine that the Decedent died intestate;

d. The Court determine the heirs at law;

e. Petitioner be appointed Administrator and Letters of Administration be issued upon qualification;

f. Bond be fixed in an appropriate amount;

g. Such other relief as the Court deems proper.


8. VERIFICATION

STATE OF ARKANSAS
COUNTY OF [COUNTY]

I, [PETITIONER FULL LEGAL NAME], being duly sworn, state that the facts set forth in this Petition are true and correct to the best of my knowledge, information, and belief.

Petitioner Signature: ______________________________________

Printed Name: [PETITIONER FULL LEGAL NAME]

Date: [__/__/____]

Subscribed and sworn to before me this [____] day of [____________], [________].

Notary Public Signature: ______________________________________
My Commission Expires: [__/__/____]


9. CERTIFICATE OF SERVICE

I certify that on [__/__/____], a true copy of this Petition was served upon all known heirs and interested persons by:

☐ Personal Service
☐ Certified Mail, Return Receipt Requested
☐ First Class U.S. Mail
☐ Publication (per Ark. Code § 28-40-103)

Party Served Address Method
[________________________________] [________________________________] [____________]
[________________________________] [________________________________] [____________]

Signature: ______________________________________
Printed Name: [PETITIONER / ATTORNEY NAME]
Arkansas Bar No.: [________________] (if applicable)
Address: [________________________________]
Telephone: [________________________________]
Email: [________________________________]


ATTACHMENTS CHECKLIST:

☐ Certified copy of Death Certificate
☐ Administrator's Bond (Ark. Code § 28-48-201)
☐ Written consents of heirs (if applicable)
☐ Proposed Order Granting Letters of Administration
☐ Filing fee payment

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PETITION FOR LETTERS OF ADMINISTRATION

STATE OF ARKANSAS


Effective Date: [DATE]
Party A: [PARTY A NAME]
Address: [PARTY A ADDRESS]
Party B: [PARTY B NAME]
Address: [PARTY B ADDRESS]
Governing Law: [GOVERNING STATE]

This document is entered into by and between [PARTY A NAME] and [PARTY B NAME], effective as of the date set forth above, subject to the terms and conditions outlined herein and the laws of [GOVERNING STATE].
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