Form PC-1.11 "Affidavit of Newly Discovered Assets $5,000.00 or Less and Statement of Proposed Distribution" - Rhode Island

What Is Form PC-1.11?

This is a legal form that was released by the Rhode Island Probate Court - a government authority operating within Rhode Island. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2021;
  • The latest edition provided by the Rhode Island Probate Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form PC-1.11 by clicking the link below or browse more documents and templates provided by the Rhode Island Probate Court.

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Download Form PC-1.11 "Affidavit of Newly Discovered Assets $5,000.00 or Less and Statement of Proposed Distribution" - Rhode Island

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State of Rhode Island
DATE FILED
Probate Court
FOR
AFFIDAVIT OF NEWLY DISCOVERED ASSETS $5,000.00 OR LESS
COURT USE ONLY
AND STATEMENT OF PROPOSED DISTRIBUTION
RIGL 33-14-13
STATE OF RHODE ISLAND
Select County
County of
PROBATE COURT OF THE
Select City or Town
Estate of
City or Town of
Alias
No.
Fiduciary:
Fiduciary
Title of
Fiduciary
Street
Address
City/Town
State
Zip Code
Email
Phone
Number
Co-Fiduciary
Title of
Co-Fiduciary
Street
Address
City/Town
State
Zip Code
Email
Phone
Number
Represents as follows:
1. Subsequent to the closing of the above estate on
(MM/DD/YYYY) the formerly appointed and qualified fiduciary(ies)
has/have discovered the following asset(s), collectively having a value of $5,000.00 or less:
Describe Asset(s)
Actual Current Value
$
$
$
$
$
$
$
Total
$
0
PC-1.11 (Rev. 03/21)
Page 1 of 2
State of Rhode Island
DATE FILED
Probate Court
FOR
AFFIDAVIT OF NEWLY DISCOVERED ASSETS $5,000.00 OR LESS
COURT USE ONLY
AND STATEMENT OF PROPOSED DISTRIBUTION
RIGL 33-14-13
STATE OF RHODE ISLAND
Select County
County of
PROBATE COURT OF THE
Select City or Town
Estate of
City or Town of
Alias
No.
Fiduciary:
Fiduciary
Title of
Fiduciary
Street
Address
City/Town
State
Zip Code
Email
Phone
Number
Co-Fiduciary
Title of
Co-Fiduciary
Street
Address
City/Town
State
Zip Code
Email
Phone
Number
Represents as follows:
1. Subsequent to the closing of the above estate on
(MM/DD/YYYY) the formerly appointed and qualified fiduciary(ies)
has/have discovered the following asset(s), collectively having a value of $5,000.00 or less:
Describe Asset(s)
Actual Current Value
$
$
$
$
$
$
$
Total
$
0
PC-1.11 (Rev. 03/21)
Page 1 of 2
2. Your petitioner(s) avers and states that the assets will be distributed to the beneficiaries under the decedent’s will or if this was an
administration proceeding, to the heirs at law as follows:
Heir at Law/Beneficiary
Relationship
Amount
$
Address
Heir at Law/Beneficiary
Relationship
Amount
$
Address
Heir at Law/Beneficiary
Relationship
Amount
$
Address
Heir at Law/Beneficiary
Relationship
Amount
$
Address
3. Petitioner further avers that a copy of this petition, along with the date it was filed with the court, with notice that the above have
30 days from that date to file an objection with this court (copy to fiduciary) to the proposed distribution, has been provided to the
beneficiaries under Will, if applicable, or to the heirs at law if this is an administration proceeding.
4. Notice has been given pursuant to
RIGL 33-14-13(a)(2) and (a)(3)
to the following persons:
Heir at Law
Relationship
Amount
$
Address
Heir at Law
Relationship
Amount
$
Address
Heir at Law
Relationship
Amount
$
Address
Heir at Law
Relationship
Amount
$
Address
Fiduciaries: To the best of my knowledge or belief, the statement(s) contained within this document are truthful and accurate.
Signature of Fiduciary
Date
Signature of Fiduciary
Date
Notary:
Name of Notary
State
County
On
day of
, 20
the petitioner, known to me or proved through satisfactory evidence, signed the
document in my presence and swore or affirmed the statement(s) in the document is/are truthful and accurate.
Signature of Notary
Date
Commission ID#
Commission Expiration Date
Notary Seal
PC-1.11 (Rev. 03/21)
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