Andersoncountyclerkandmaster.com
IN THE CHANCERY COURT FOR ANDERSON COUNTY, TENNESSEE
ESTATE OF: _______________________________ NO._______
(Decedent)
STATEMENT IN LIEU OF ACCOUNTING FOR INTESTATE ESTATE
The undersigned, being the Personal Representative of the Estate herein, pursuant to T.C.A. § 30-2-601(b)(1) and (c), states that the Personal Representative has:
1. Properly administered the Estate of the Decedent;
2. Has paid or settled all claims lawfully presented;
3. Has paid all expenses of administration;
4. Has mailed or delivered notice of the requirement to file claims, as prescribed in
§ 30-2-306(d), to the creditors of the decedent who were known to me or
reasonably ascertainable.
5. Has filed with the Clerk the final receipt and release from the Tennessee
Department of Revenue evidencing payment of all Tennessee inheritance
and/or estate tax or waiver thereof;
6. Has filed a release from the Bureau of TennCare if required by law;
7. Has distributed the estate according to the laws of intestate succession.
___________________________________
PERSONAL REPRESENTATIVE
STATE OF ________________________
COUNTY OF ______________________
Personally appeared before me the said _______________________________, and after being duly sworn deposes and says that the facts averred in the above document are true to the best of his/her knowledge, information, and belief, this _____ day of _______________, 20____.
_____________________________________
NOTARY PUBLIC
(My Commission expires: __________)
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