Petition for Letters of Administration c.ta. (After Probate)

For Office Use Only
Filing Fee Paid $__________________
___________ Certs: ______________
$__________ Bond, Fee: ___________
Receipt No:_________ No:___________
CTA-1 (7/98)
1
DO NOT LEAVE ANY ITEMS BLANK
CTA-1 (7/98)
2
SURROGATE’S COURT OF THE STATE OF NEW YORK
COUNTY OF ___________________________________
_______________________________________________X
LETTERS OF ADMINISTRATION c.t.a.,
WILL OF
a/k/a
__________________________________________X
CTA-1 (7/98)
3
PETITION FOR
LETTERS OF ADMINISTRATION c.t.a
AFTER PROBATE
SCPA 1418 AND 1419
File No.___________________________
TO THE SURROGATE’S COURT, COUNTY OF ______________:
It is respectfully alleged:
1. (a) The name, citizenship, domicile (or, in the case of a bank or trust company, its principal office)
and interest in this proceeding of the petitioner(s) is/are as follows:__________________________________________
Name: _________________________________________________________________________________________
Domicile or Principal Office: ________________________________________________________________________
(Street and Number)
(City, Village or Town)
______________________________________________________________________________________________
(County)
Number)
(State)
(Zip)
(Telephone
Mailing Address: _________________________________________________________________________________
(If different from domicile)
Citizenship (check one):
[ ]
USA
[ ] Other (specify) __________________________
Name:_________________________________________________________________________________________
Domicile or Principal Office: ________________________________________________________________________
(Street and Number)
(City, Village or Town)
______________________________________________________________________________________________
(County)
(State)
(Zip)
(Telephone Number)
Mailing Address: _________________________________________________________________________________
(If different from domicile)
Citizenship (check one):
Interest (s) of Petitioner (s):
[ ]
[ ]
[ ]
U.S.A.
[ ] Other (specify) __________________________
[Check one]
Sole Beneficiary
[ ]
Residuary Beneficiary
Other [Specify] _____________________________________________________________________
1.(b)
The proposed Administrator c.t.a. [ ] is [ ] is not an attorney.
[NOTE: An Administrator c.t.a. - Attorney must comply with Uniform Court Rule 207.16 (e). (See also
207.52)]
2.
The will of the above-named decedent was admitted to probate by the Surrogate’s Court
of ___________________County on ______________________ and Letters Testamentary were issued to
_________________________________ , who on____________________________________________,
[ ] died [ ] resigned
[ ] was removed.
3.
The names and addresses of all persons and parties interested in this proceeding having a right
to letters of administration c.t.a. (with the will annexed) prior or equal to the petitioner under the provisions of SCPA §1418 and
1419, are as follows: [Furnish all information specified in NOTE below, if required]
Name_________________________ Domicile Address ______________________ and Description of Legacy, Devisee
______________________________Relationship ___________________________Mailing Address_____________________
______________________________or Other Interest, or Nature of Fiduciary Status:__________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
4.
The names and addresses of all persons and parties who are beneficiaries named in the will other than
those named in paragraph 3 above are as follows: [Furnish all information specified in NOTE below, if required]
Name_________________________ Domicile Address______________________ and Description of Legacy, Devisee
______________________________Relationship ___________________________Mailing Address _____________________
______________________________ or Other Interest, or Nature of Fiduciary Status: _________________________________
______________________________________________________________________________________________________
CTA-1 (7/98)
4
______________________________________________________________________________________________________
5.
There are no persons other than those hereinbefore mentioned interested in this proceeding.
6.
There are no outstanding debts or funeral expenses, except:
[If “NONE” so state] ______________________
7.
(a) To the best of the knowledge of the undersigned, property of the estate remains unadministered as
follows:
Personal Property $ ________________ Improved real property in New York State $ ____________________
Unimproved real property in New York State $ ____________________________________________________
Estimated gross rents for a period of 18 months $ _________________________________________________
(b) No other testamentary assets exist in New York State, nor does any cause of action exist on behalf of the
estate as follows: [Enter “NONE” or specify] ______________________________________________________________
[NOTE: In the case of each infant, state (a) name, birth date, relationship to decedent, domicile and residence address, and the
person with whom he/she resides, (b) whether or not he/she has a court-appointed guardian (if not, so state), and whether or not his/her father
and/or mother is living, and (c) the name and residence address of any court-appointed guardian and the information regarding such
appointment. In the case of each other person under a disability, state (a) name,
relationship to decedent, and residence address, (b) facts regarding this disability including whether or not a committee, conservator, guardian,
or any other fiduciary has been appointed and whether or not he/she has been committed to any institution, and (c) the names and addresses
of any committee, person or institution having care and custody of him/her; conservator; guardian; and any relative or friend having an interest
in his/her welfare. In the case of a person confined as a prisoner, state place of incarceration and list any person having an interest in his/her
welfare.
Wherefore, petitioner (s) pray (s)
(b) that letters issue as follows:
(a) that process issue to all necessary parties and
Letters of Administration c.t.a. to: ________________________________________________
(c) [State any other relief requested] __________________________________________________________________
Dated: ___________________________
1. ________________________________________
(Signature of Petitioner)
__________________________________________
(Print Name)
3._________________________________________
(Name of Corporate Petitioner)
__________________________________________
(Signature of Officer)
__________________________________________
(Print Name and Title of Officer)
2. ____________________________________
(Signature of Petitioner)
______________________________________
(Print Name)
COMBINED VERIFICATION, OATH & DESIGNATION
[For use when petitioner is to be appointed administrator c.t.a.]
STATE OF
___________________ )
COUNTY OF ___________________ ) SS.:
The undersigned, the petitioner named in the foregoing petition, being duly sworn says:
1. VERIFICATION: I have read the foregoing petition subscribed by me and know the contents thereof, and the same is true
of my own knowledge, except as to the matters therein stated to be alleged upon information and belief, and as to those matters
I believe it to be true.
CTA-1 (7/98)
5
2. OATH OF ADMINISTRATOR c.t.a.: I am over eighteen (18) years of age and a citizen of the United States; I will well,
faithfully and honestly discharge the duties of the administrator c.t.a.. I am not ineligible to receive letters.
3. DESIGNATION OF CLERK FOR SERVICE OF PROCESS: I do hereby designate the Clerk of the Surrogate’s Court of
__________________________ County, and his or her successor in office, as a person on whom service of any process issuing
from such Surrogate’s Court may be made, in like manner and with like effect as if it were served personally upon me, whenever
I cannot be found within the State of New York after due diligence used.
My domicile is _______________________________________________________________________________
(Street Address)
(City/Town/Village)
(State)
___________________________________
(Signature of Petitioner)
______________________________________
(Print Name)
On ____________________________________________ , __________________________ , before me personally
came _____________________________________________________________________________
to me known to be the person described in and who executed the foregoing instrument. Such person duly sworn to such
instrument before me and duly acknowledge that he/she executed the same.
________________________________
Notary Public
Commission Expires
(Affix Notary Stamp or Seal)
Signature of Attorney: ___________________________________________________________________________
Print Name: ___________________________________________________________________________________
Firm Name: ______________________________________________________
Tel. No.: __________________
Address of Attorney: ____________________________________________________________________________
COMBINED CORPORATE VERIFICATION, CONSENT AND DESIGNATION
[For use when a petitioner to be appointed is a bank or trust company]
STATE OF _______________)
COUNTY OF______________) ss:
The undersigned, a ____________________________________________________________________ of
________________________________________________ (Title)_______________________________________
____________________________________________________________________________________________
(Name of Bank or Trust Company)
CTA-1 (7/98)
6
a corporation duly qualified to act in a fiduciary capacity without further security, being duly sworn, say:
1. VERIFICATION: I have read the foregoing petition subscribed by me and know the contents thereof, and the same is
true of my own knowledge, except as to the matters therein stated to be alleged upon information and belief, and as to those
matters I believe it to be true.
2. CONSENT: I consent to accept the appointment as Administrator c.t.a. of the decedent described in the foregoing
petition and consent to act as such fiduciary.
3. DESIGNATION OF CLERK FOR SERVICE OF PROCESS: I do hereby designate the Clerk of the Surrogate’s Court
of _______________________________County, and his or her successor in office, as a person on whom service of any
process issuing from such Surrogate’s Court may be made, in like manner and with like effect as if it were served personally
upon me, whenever I cannot be found within the State of New York after due diligence used.
_______________________________________________
(Name of Corporate Petitioner)
_______________________________________________
(Signature of Officer)
_______________________________________________
(Print Name and Title of Officer)
On the ____________________________________________ , _________________ , before me personally
came to me known, who duly swore to the foregoing instrument and who did say that he/she
resides at ______________________________________________________________________________
____________________________________ and that he/she is a __________________________________________
of_____________________ the corporation/national banking association described in and which executed such instrument, and
the he/she signed his/her name thereto by order of the Board of Directors of the corporation.
Notary Public___________________________________________
Commission Expires:
(Affix Notary Stamp or Seal)
Signature of Attorney: _______________________________________________
Print Name: _______________________________________________
Firm Name: _______________________________________________
Tel. No.: ____________________
Address of Attorney: ______________________________________________________________________________
CTA-1 (7/98)
7
LETTERS OF ADMINISTRATION c.t.a. CITATION
File No._________________
SURROGATE’S COURT-_____________________COUNTY
CITATION
THE PEOPLE OF THE STATE OF NEW YORK,
By the Grace of God Free and Independent
TO ____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
A petition having been duly filed by__________________ , who is domiciled at___________________
___________________________________________________YOU ARE HEREBY CITED TO SHOW
CAUSE before the Surrogate’s Court,________________________ County, at _________________, New
York, on___________________________________________________, at ________o’clock in the
______________ noon of that day, why a decree should not be made in the estate of___________________
lately domiciled at ________________________________________________________________________
granting administration c.t.a. and directing that Letters of Administration c.t.a. issue to: __________________
_______________________________________________________________________________(State any
further relief requested)____________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
HON. _________________________________
Surrogate
Dated, Attested and Sealed,
, ___________
___________________________________
Chief Clerk
(Seal)
________________________________________________________________________________________
Attorney for Petitioner
Telephone Number
________________________________________________________________________________________
Address of Attorney
[Note: This citation is served upon you as required by law. You are not required to appear. If you fail to appear
it will be assumed you do not object to the relief requested. You have a right to have an attorney appear for you.]
CTA-1 (7/98)
8
CTA-1 (7/98)
9
SURROGATE’S COURT OF THE STATE OF NEW YORK
COUNTY OF ___________________________________
X
LETTERS OF ADMINISTRATION c.t.a.
WILL OF ___________________________________________
RENUNCIATION OF LETTERS OF
ADMINISTRATION c.t.a.
WAIVER OF PROCESS AND
CONSENT TO DISPENSE WITH BOND
a/k/a ______________________________________________
Deceased.
X
CTA-1 (7/98)
10
File No.
The undersigned, ___________________________________ , a person interested in this estate as
[ ]
a beneficiary with equal or prior right to receive letters
[ ]
a beneficiary of the estate
[ ]
a creditor
[ ]
other (specify) _______________________________________________________
hereby personally appears in this proceeding in the Surrogate’s Court of __________________________
County and
1.
Renounces all rights to Letters of Administration c.t.a.
2.
Waives the issuance and service of citation in the above entitled proceeding.
3.
Consents that Letters of Administration c.t.a. be granted by the Court
to_____________________ or any other person or persons entitled there to without any notice
whatsoever to the undersigned.
4.
Consents to dispense with bond of the Administrator c.t.a. and if such consent be filed by some
but not all of the persons interested in the estate, specifically releases any claim under any bond that may be
required of such Administrator c.t.a.
________
Date
_______________________________
Signature
__________________________________________
Print Name
STATE OF NEW YORK
COUNTY OF ______________________
___________________________
Street Address
____________________
Relationship
__________________________________________________
Town/State/Zip
ss.: ____________________________________________
On
____________________________________________ , _________, before me personally came to me
known to be the person described in and who executed the foregoing instrument. Such person duly swore to such
instrument before me and duly acknowledged that he/she executed the same.
Notary Public_______________________________
Commission Expires:_________________________
(Affix Notary Stamp or Seal)
Name of Attorney: _______________________________________
Address of Attorney: ____________________________________
CTA-3 (7/98)
CTA-1 (7/98)
11
Tel. No.:___________________
SURROGATE’S COURT OF THE STATE OF NEW YORK
COUNTY OF ____________________________
________________________________________X
PROBATE PROCEEDING,
WILL OF ________________________________
AFFIDAVIT OF NO DEBT
(For use with Letters of
Administration c.t.a.)
a/k/a____________________________________
File No. ____________________________
Deceased.
________________________________________X
CTA-1 (7/98)
12
STATE OF NEW YORK
COUNTY OF ___________________________
)
) ss.:
)
___________________________________________________________________, being duly sworn, deposes and says
that he/she resides at ___________________________________________________, County of ___________________,
State of ___________________________________; that he/she is the person seeking appointment as administrator c.t.a. in
the above entitled proceeding; that the value of all personal property receivable by the fiduciary of the estate of the abovenamed decedent plus estimated gross rents receivable by said fiduciary for 18 months will not exceed the sum of
$________________________; that deponent has made a diligent search to ascertain whether or nor there are any debts or claims
against the estate of said decedent and that there are no claims, including unpaid funeral and medical bills, except as follows:
[If “none”, write “NONE”]
CTA-1 (7/98)
13
NAME
ADDRESS
NATURE OF CLAIM
AMOUNT
____________________________________________________________________________________________________
___
___
___________________________
Signature
Sworn to be fore me this ______________
day of _________________, 20_______
___________________________
Print Name
________________________________
Notary Public
Commission Expires:
(Affix Notary Stamp or Seal)
Name of Attorney ____________________________________________ Tel. No.:______________________
Address of Attorney________________________________________________________________________
P-12 (10/96)
CTA-1 (7/98)
14