Fillable Form 1: PET 2 3 Petitioner, In Proper (Civil Law Self-Help Center)

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Form 1: PET 2 3 Petitioner, In Proper (Civil Law Self-Help Center)

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PET
_____________________________
(Name)
_____________________________
(Address)
_____________________________
(City, State, Zip Code)
_____________________________
(Telephone number/E-mail Address)
Petitioner, In Proper Person
EIGHTH JUDICIAL DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Estate of:
_______________________________________,
Deceased.
Case No.: P
Dept. No.: PC-1
PETITION FOR SPECIAL LETTERS OF ADMINISTRATION
1. Petitioner, (your name) ___________________________________________,
(hereinafter “Petitioner”) appearing in Proper Person, respectfully alleges and shows as follows:
2. Petitioner files this request pursuant to Nevada Revised Statutes Chapter 140, and
requests that this Court enter an order authorizing the appointment of a Special Administrator
over the estate of (name of person who passed away)_______________________________ (hereinafter
“Decedent”).
3. Petitioner is the (your relation to the decedent) ___________________ of Decedent, is
is not over the age of 18 years of age, is is not a resident of the State of Nevada, and
resides at (your address) _____________________________________________________________.
A copy of Petitioner’s identification is attached hereto as Exhibit A.
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4. Decedent, (person who died) __________________________________, died on (day,
month, and year of death)
___________________________. A certified copy of Decedent’s death
certificate is attached as Exhibit B.
5. The Decedent was at the time of death, a resident of the County of Clark, State of
Nevada. Decedent’s estate consists of real and/or personal property, and the exact value and
character of said property has not been determined.
6. Decedent knows of no other person authorized to care for the property belonging
to the estate. Because there is danger of the property being neglected and greatly damaged,
Petitioner requests that an appointment of a special administrator be made to take charge of and
care for the property of the estate.
7. Special Administration is needed for the following reason(s): (state why you need to be
appointed Special Administrator)
______________________________________________________________________________
______________________________________________________________________________
_____________________________________________________________________________.
8. Petitioner is willing to act as Special Administrator of the estate to ascertain the
assets and protect the same and for the reasons stated in Number 3 above.
9. Petitioner (check one) has has never been convicted of a felony. Petitioner is
qualified under NRS 139.010 to serve as Special Administrator of the Estate.
/ / /
/ / /
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10. The names, relationships, ages, and residence addresses of all the devisees,
legatees, heirs, and next-of-kin of Decedent, so far as known to Petitioner, are:
(You must include the name, relationship, age (if under 18) and address of (1) decedent’s legally married spouse, (2) all decedent’s children; (3)
all other devisees, legatees, heirs, and next-of kin. List all persons, regardless of age, even if estranged or out of state. Include all addresses; if
unknown, include last known address or state “unknown.”)
Name
Relationship to
Decedent
Age
(If under 18, list age; if over 18,
write “adult.”)
Address
Check here if you have more people to include, and attach a continuation sheet.
11. The devisees, legatees, heirs, and next-of-kin of Decedent who are listed above
either consent to the appointment of Special Administrator, and I have attached the appropriate
Nomination of Special Administrator herein; or they have not consented, and an Affidavit in
Support of Petition for Order Appointing Special Administrator explaining their lack of consent
is herein attached as Exhibit C.
/ / /
/ / /
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WHEREFORE, Petitioner prays that he/she be appointed Special Administrator of the
Estate of (name of person who passed away) ________________________, deceased, with all liquid assets
placed in a blocked account, with authority to take possession of said property, and specifically
to: (state actions you plan to take as special administrator)
______________________________________________________________________________
_____________________________________________________________________________.
DATED this ______ day of ______________________, 20____.
Respectfully submitted,
_____________________________
(signature)
_____________________________
(Your name)
_____________________________
(Your address)
_____________________________
(Your city, state, and zip)
_____________________________
(Your phone number)
_____________________________
(Your email)
PETITIONER, IN PROPER PERSON
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VERIFICATION IN SUPPORT OF
PETITION FOR SPECIAL LETTERS OF ADMINISTRATION
STATE OF NEVADA )
)ss
COUNTY OF CLARK )
(Your name)________________________, being first duly sworn, declares under penalty of
perjury under the law of the State of Nevada that the foregoing and following is true and correct:
I am the Petitioner in the above-entitled action. I have read the foregoing Petition for
Special Letters of Administration, and know the contents thereof. The Petition is true of my own
knowledge except as to those matters that are stated on information and belief, and as to those
matters, I believe them to be true.
DATED THIS _____ day of _______________, 20___.
_____________________________
(Signature)
_____________________________
(Your name)
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LETT
EIGHTH JUDICIAL DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Estate of:
_______________________________________,
Deceased.
Case No.: P
Dept. No.: PC-1
LETTERS OF SPECIAL
ADMINISTRATION
On the (insert date of Order Appointing Special Administrator) _____ day of ____________________, 20_____, the
Court entered an Order appointing
(your name) __________________________________________ as Special
Administrator of the Decedent’s Estate. The Order includes:
A directive for no bond;
A directive for the establishment of blocked accounts;
A directive for the posting of bond in the sum of $_______________; or
A directive for both the establishment of blocked accounts for sums in excess of $_______________
and the posting of bond in the sum of $_______________.
The Special Administrator, having duly qualified, may act and has the authority and duties of Special
Administrator.
In testimony of which, I have this date signed these Letters and affixed the seal of the Court.
CLERK OF COURT
By: ____________________________________
Deputy Clerk Date
OATH
I, (your name) _________________________, whose mailing address is (your address)
____________________________________________________________________, solemnly affirm that I will
faithfully perform according to law the duties of Special Administrator and that all matters stated in any petition or
paper filed with the Court by me are true of my own knowledge or, if any matters are stated on information and
belief, I believe them to be true.
___________________________________________
ADMINISTRATOR
SUBSCRIBED AND AFFIRMED before me this
_______ day of ____________________, 20____.
County of _______________ State of _________
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_____________________________
(Name)
_____________________________
(Address)
_____________________________
(City, State, Zip Code)
_____________________________
(Telephone number/E-mail Address)
In Proper Person
EIGHTH JUDICIAL DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Estate of:
_______________________________________,
Deceased.
Case No.: P
Dept. No.: PC-1
NOMINATION OF SPECIAL ADMINISTRATOR
I, (your name) __________________________, (your relationship to decedent) _________________ of
decedent, whose address is (address) _________________________________________________
declare under penalty of perjury that I hereby nominate
(name of Petitioner) _____________________,
who resides at
(Petitioner’s address) _____________________________________________________,
to serve as Special Administrator of the Estate of (decedent’s name)___________________________.
DATED THIS _____ day of _______________, 20___.
Respectfully submitted,
_____________________________
(signature)
_____________________________
(Your name)
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ORDR
_____________________________
(Name)
_____________________________
(Address)
_____________________________
(City, State, Zip Code)
_____________________________
(Telephone number/E-mail Address)
Petitioner, In Proper Person
EIGHTH JUDICIAL DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Estate of:
_______________________________________,
Deceased.
Case No.: P
Dept. No.: PC-1
ORDER APPOINTING SPECIAL ADMINISTRATOR
Upon submission of a verified Ex Parte Petition for Appointment of Special
Administrator and for Issuance of Special Letters of Administration, representing as follows:
1. That Decedent,
(name of person who died) ______________________________________,
died intestate on the
(day, month, and year of death) __________________________, in the County of
Clark, State of Nevada.
2. That Decedent was a resident of Clark County, Nevada, at the time of their death.
NOW, THEREFORE, IT IS HEREBY ORDERED that (your name) _________________
__________________________ is appointed as Special Administrator and that Special Letters of
Administration be issued, without bond, to the Petitioner, (your name) ________________________,
upon taking the oath of office, for the purpose of administering the estate in accordance with
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Nevada Revised Statutes Chapter 140.040, which provides as follows:
NRS 140.040 Powers, duties and immunity from liability for certain
claims.
1. A special administrator shall:
(a) Collect and preserve for the executor or administrator when appointed
all the goods, chattels and receivables of the decedent, and all incomes, rents,
issues, profits, claims and demands of the estate.
(b) Take charge and management of the real property and enter upon and
preserve it from damage, waste and injury.
2. A special administrator may:
(a) For all necessary purposes, commence, maintain or defend actions and
other legal proceedings as a personal representative.
(b) Without prior order of the court, sell any perishable property of the
estate, as provided in NRS 148.170
.
(c) Exercise such other powers as have been conferred by the order of
appointment.
(d) Obtain leave of the court to borrow money or to lease or mortgage real
property in the same manner as an executor or administrator.
3. A special administrator is not liable:
(a) To any creditor on any claim against the estate; or
(b) For any claim against the decedent except a claim involving wrongful
death, personal injury or property damage if the estate contains no assets other
than a policy of liability insurance.
IT IS FURTHER ORDERED: (check one box)
All moneys received by this estate will be placed in a blocked account until further order
by the court and proof of the blocked account shall be filed with the court within thirty
(30) days from the date of entry of this court order.
All moneys received by this estate will be placed in the attorney’s trust account until
further order by the court.
IT IS FURTHER ORDERED that any settlements of any lawsuits affecting the
Decedent’s estate are subject to this court’s approval.
DATED this ____ day of ___________, 20_____.
_______________________________
DISTRICT COURT JUDGE
Respectfully submitted,
_____________________________
(signature)
_____________________________
(Your name)
PETITIONER, IN PROPER PERSON
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EXHIBIT A
(Petitioner’s Identification)
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EXHIBIT B
(Death Certificate)
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EXHIBIT C
(Nominations and/or Affidavits in Support of Petition)
County, Nevada
Case No.
I. Part
y
Information
(provide both home and mailing addresses if different)
Plaintiff(s) (name/address/phone): Defendant(s) (name/address/phone):
Attorney (name/address/phone): Attorney (name/address/phone):
II. Nature of Controvers
y
(please select the one most applicable filing type below)
Landlord/Tenant Negligence Other Torts
Unlawful Detainer Auto Product Liability
Other Landlord/Tenant Premises Liability
Intentional Misconduct
Title to Property
Other Negligence
Employment Tort
Judicial Foreclosure Malpractice
Insurance Tort
Other Title to Property Medical/Dental Other Tort
Other Real Property Legal
Condemnation/Eminent Domain Accounting
Other Real Property Other Malpractice
Probate
(select case type and estate value)
Construction Defect Judicial Review
Summary Administration Chapter 40 Foreclosure Mediation Case
General Administration Other Construction Defect Petition to Seal Records
Special Administration Contract Case Mental Competency
Set Aside Uniform Commercial Code Nevada State Agency Appeal
Trust/Conservatorship Building and Construction Department of Motor Vehicle
Other Probate Insurance Carrier Worker's Compensation
Estate Value Commercial Instrument Other Nevada State Agency
Over $200,000 Collection of Accounts Appeal Other
Between $100,000 and $200,000 Employment Contract Appeal from Lower Court
Under $100,000 or Unknown Other Contract Other Judicial Review/Appeal
Under $2,500
Civil Writ Other Civil Filing
Writ of Habeas Corpus Writ of Prohibition Compromise of Minor's Claim
Writ of Mandamus Other Civil Writ Foreign Judgment
Writ of Quo Warrant Other Civil Matters
Signature of initiating party or representative
Civil Writ Other Civil Filing
Date
Business Court filings should be filed using the Business Court civil coversheet.
DISTRICT COURT CIVIL COVER SHEET
(Assigned by Clerk's Office)
See other side for family-related case filings.
Probate
TortsReal Property
Construction Defect & Contract Judicial Review/Appeal
Civil Case Filing Types
N
evada AOC - Research Statistics Uni
t
Pursuant to NRS 3.275
Form PA 201
Rev 3.1
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Form 1: PET 2 3 Petitioner, In Proper (Civil Law Self-Help Center)

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Completed 8 January 2021

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