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Joseph Abruzzo Clerk of The Circuit Court & (Clerk of the Circuit Court & Comptroller, Palm Beach County)

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Want to learn more? Attend one of our free Self
Service Center DIY Workshops at the Main
Courthouse on the first Wednesday of each month
from 3:30pm to 4:30pm. Topic varies from month to
month. Visit www.mypalmbeachclerk.com for more
information.
Joseph Abruzzo
Clerk of The Circuit Court & Comptroller
Self Service Center
Your Guide Through The Courts
Packet #68
Revised 01/2021
Disposition of Personal Property without
Administration
File completed forms in room: 3.23 (Main Branch)
Non-Refundable
FREE
Self Service Center Services
All instructions and forms distributed by the Clerk of the Circuit Court & Comptroller are
provided as a public service to persons seeking to represent themselves in court without the
assistance of an attorney. These documents are meant to serve as a guide only, and to assist pro
se (self-represented) litigants with their cases. Any person using these instructions and/or forms
does so at his or her own risk, and the Clerk shall not be responsible for any losses incurred by
any person in reliance on the instructions and/or forms.
Below are a few of the services available at the Self Service Center:
(Please review current pricing as fees are subject to change without notice)
Navigator Appointments (for document preparation assistance) Free
Navigators do not provide legal advice but will assist you in completing the forms and
provide you with procedural information.
Community Resource Referral- pamphlets Free
Photocopies prior to filing $.15/page
Photocopies after filing $1.00/page
Deputy Clerk signing $3.50/signature
Notary signing $10.00/signature
Single forms $1.00/page
ABRUZZO
For more information, please go to www.mypalmbeachclerk.com, email us at
Selfservice@mypalmbeachclerk.com, or visit one of the following locations:
Palm Beach County Courthouse
205 N. Dixie Highway, Rm #1.25
West Palm Beach, Florida 33401
Self Service line: 561-355-7048
South County Courthouse
200 W. Atlantic Ave.
Delray Beach, Florida 33444
561-274-1588
North County Courthouse
3188 PGA Blvd
Palm Beach Gardens, Florida 33410
561-624-6650
West County Courthouse
2950 State Road 15, Rm. #S-100
Belle Glade, Florida 33430
561-996-4843
Additional Legal Resources:
Florida Rural Legal
Services
www.frls.org
561-820-8902
Legal Aid Society of
Palm Beach County
www.legalaidpbc.org
561-655-8944
Lawyer Referral
Service
www.palmbeachbar.org
561-687-3266 (to hire a
lawyer to represent you
in court or give you
legal advice)
Palm Beach County
Law Library
https://www.15thcircu
it.com/services/law-
library
561-355-2928
Self Service Packet #68 Page 2 of 13
ABRUZZO
Disposition of Personal Property without Administration (Packet #68)
When should this packet be used?
This packet should be used to request the release of the Decedent’s exempt and nonexempt
personal property described below. There cannot be any real estate involved, and the
Decedent must have been a resident of Palm Beach County.
What are the requirements to use the Disposition of Personal Property
without Administration process?
•   Pursuant to section 735.301, Florida Statutes, to be eligible to use this process:
o The estate must consist solely of nonexempt personal property and exempt
personal property.
Non-exempt personal property includes:
•   Property that does not exceed $6,000 of reasonable funeral
expenses; plus
•   Property that does not exceed the Decedent’s final medical bills
for the last 60 days before the Decedent’s last illness.
Exempt personal property includes:
•   Up to $1,000 of personal homestead property;
•   Up to $4,000 of personal property if the Decedent did not claim or
receive benefits of a homestead exemption;
•   Up to $20,000 worth of certain household goods (such as
furniture, furnishings, and appliances);
•   Two qualifying motor vehicles, neither of which weighs in excess
of 15,000 pounds by itself, which are held in the Decedent’s name
and regularly used by the Decedent or members of the Decedent’s
immediate family as their personal motor vehicles;
•   Prepaid tuition programs; and
•   Benefits paid to a teacher or school administrator
Self Service Packet #68 Page 3 of 13
ABRUZZO
CL~kKOFTHECJRCUITCOUMT&CO.'lrL'~OUEt
Fees:
Unless otherwise noted, fees may be paid by cash, credit card, personal check, or money order
payable to Joseph Abruzzo, Clerk of the Circuit Court, Palm Beach County. If you cannot afford
to pay the filing fee, you may obtain an Application for Determination of Civil Indigent Status
from the clerk.
Once
submitted,
the
clerk
will determine
whether
you
are
eligible
to
have
filing
fees
waived
per Florida Statute.
• Certified Copy $3.00 per copy
• Filing $232.00
FORMS CHECKLIST
Include in Initial Filing:
___ Petition for Disposition of Personal Property without Administration Verified
Statement (Pages 7-9)
___ Affidavit of Heirship (Pages 10-12): You must list all relatives of the Decedent, including
yourself, if applicable. If the decedent never had a relative, indicate “None” in that category.
___ Certified Copy of Decedent’s Death Certificate
___Copy of Decedent’s funeral bill or signed affidavit from funeral detailing bill and
payment. Any application requesting a Disposition of the decedent’s Personal Property
without Administration must include the amount of reasonable f uneral expenses with
accompanying statements or payment receipts.
___Copy of Decedent’s medical bills for the last 60 days of his/her life.
Any application requesting a Disposition of the decedent’s Personal Property without
Administration must include the amount of reasonable and necessary medical and hospital
expenses for the last 60 days of the last illness together with accompanying statements or
payment receipts.
___ Decedent’s original Last Will and Testament, if any.
___ Self-Addressed Stamped Envelope
Self Service Packet #68 Page 4 of 13
ABRUZZO
CI.F.RKOFTllf.CIRCUITCOURTl,COM
File if Applicable to Your Case: (If any of the property listed on Page 3 of our
instructions are included in your Petition for Disposition of Personal Property without
Administration Verified Statement, supporting documentation should be included with your
filing):
___ Affidavit/Waiver/Consent to Disbursement of Funds (Pg. 13): Use this form if the
Decedent’s personal property includes exempt property or property that may be determined
exempt property. This form must be signed by all beneficiaries who are entitled to receive
any exempt property listed as an asset of the Decedent or by their representatives.
___Copy of bank statement(s) solely in Decedent’s name or bank name and address for
accounts
___ Copy of bond(s) solely in Decedent’s name and corresponding letter from bank. The
letter from the bank must be on company letterhead and provide the current value of bonds.
___ Copy of stock certificate(s) solely in Decedent’s name and corresponding letter from
Bank. The letter from the stock broker must be on company letterhead and provide the
value of certificates at the time of death.
___ Copy of any checks payable to the estate that must be reissued. A copy of the check
should be included with Petition for Disposition of Personal Property without
Administration Verified Statement, with the name and address of the company issuing the
check is clearly visible. Once the Order reissuing the check is received, please return the
original check to the bank, along with a certified copy of the order.
Final Steps:
Once the Petition for Disposition of Personal Property without Administration Verified
Statement is filed and appropriate fees paid, the Clerk will assign a case number and forward the
filing to a case manager for review. The case manager will notify the Petitioner if any additional
information is need or if corrections are necessary.
Upon verification of all the information in the filing, a Probate Judge will sign an order granting
or denying the Petitioner’s request and a certified copy of the order will be mailed to you. The
Petitioner must then mail a certified copy of the order to the appropriate bank or stock company
for disbursement.
Self Service Packet #68 Page 5 of 13
ABRUZZO
Filing Instructions
•  Paper/ Original Documents:
You may file your paperwork either by visiting one of our four courthouse locations (see
Page 2 of our instructions) or by U.S. mail to:
Probate
P.O. Box 4667
West Palm Beach FL, 33402
Make 2 copies of all the documents that you complete.
Next, file all the applicable documents with the Clerk & Comptroller’s office. Have all
pages clipped together before filing (copies may be stapled together).
If you mail your documents, make sure you provide an extra pre-addressed stamped
envelope so that your copies may be returned.
•  Electronic Documents:
Self-represented litigants may file petitions or other pleadings or documents
electronically, but they are not required to do so. If you choose to file your pleadings or
other documents electronically, you must do so in accordance with Florida Rule of
Judicial Administration 2.525 and the procedures of the judicial circuit in which you file.
The rules and procedures should be carefully read and followed.
You must first register in the Florida E-Filing Portal. Directions, a manual, and a short
step by step video are available if you wish to learn to e-file your documents with the
Clerk & Comptroller instead of filing a hard copy. Go to:
www.mypalmbeachclerk.com/court-services/e-filing/self-represented-filers. Please note
certain documents must be filed in original, hard copy format. A list of these documents is
available on our website.
Self Service Packet #68 Page 6 of 13
IN THE CIRCUIT COURT OF THE FIFTEENTH
JUDICIAL CIRCUIT, IN AND FOR PALM BEACH COUNTY, FLORIDA'&
PROBATE DIVISION: ____________________
FILE NUMBER: _________________________
IN RE: ESTATE OF:
DECEASED
PETITION FOR
DISPOSITION OF PERSONAL PROPERTY WITHOUT
ADMINISTRATION VERIFIED STATEMENT
1. Petitioner (Name),
whose address is:
who is the, (state relationship) of the deceased who died on
(date of death) deceased, while a resident of
County. The last known address of the deceased was
( ) The decedent left no will;
( ) The decedents will was deposited with the clerk on
Will Only Number: none
2. So far as is known the names of the heirs/beneficiaries* of the decedent's estate and the
decedent's surviving spouse, (if any), their address, their relationship to the decedent, and
the ages of any who are minors are:
NAME ADDRESS RELATIONSHIP AGE
*
Note: If the asset is not to be equally divided: each beneficiary listed must sign before a Deputy Clerk or Notary
Public agreeing to the disbursement of funds. By listing only the petitioner’s name, the petitioner declares
themselves to be the sole beneficiary of the deceased.
Self Service Packet #68 (Page 7 of 13)
Petition for Disposition of Personal Property Without Administration
Verified Statement, Page 1 of 3
3. ASSETS The estate of the decedent consists only of personal property exempt from the
claims of creditors under the Constitution of Florida and non-exempt personal property, the
value of which does not exceed the sum of the amount of preferred funeral expenses and
reasonable and necessary medical and hospital expenses of the last 60 days of the decedent's
last illness all being described as follows:
EXEMPT PROPERTY
(Includes personal property and assets valued up to a total amount of $1000.00 as well as
other exempt property described in the explanation packet. For exempt property, complete
this portion and do not rewrite in the non-exempt portion. If there is no exempt property,
write N/A [not applicable] in this portion of the form)
DESCRIPTION
VALUE
NON-EXEMPT PROPERTY
(Includes all assets not considered exempt as described in the explanation packet. For non-
exempt assets, complete this portion and do not write in the exempt portion. If there ar e no
non-exempt assets, write N/A [not applicable] in this portion of the form.
DESCRIPTION
VALUE
4. Preferred funeral expenses (statement and/or receipt filed separately)
SERVICES BY: AMOUNT PAID/DUE
5. Medical and Hospital expenses for the last 60 days of the last illness (statement
and/or receipt filed):
SERVICES BY: AMOUNT PAID/DUE
Petition for Disposition of Personal Property Without Administration
Verified Statement, Page 2 of 3
_________________________________
_________________________________
6. Other debts of decedent:
CREDITOR GOODS or SERVICES
(How incurred)
AMOUNT
7. Requested payment or distribution to: (Who is to get assets/property)
NAME (address and phone number) PROPERTY AMOUNT/VALUE
Petitioner has mode diligent search and reasonable inquiry for any known or reasonably
ascertainable creditors. Petitioner states that a complete list of all heirs/beneficiaries has been
listed.
UNDER PENAL TIES OF PERJURY, I DECLARE THAT I HAVE READ THE
FOREGOING AND THE FACTS ALLEGED ARE TRUE TO THE BEST OF MY
KNOWLEDGE AND BELIEF:
Signature:
Address:
Day time telephone No.: Residence telephone No.
Print Name:
STATE OF FLORIDA
COUNTY OF __________________
The foregoing instrument was acknowledged before me by means of ☐ physical presence or ☐ online
notarization, this ___ day of ____________, ________, by __________________, who is personally
known to me or has produced __________________ as identification.
[Notary Seal]
NOTARY PUBLIC or DEPUTY CLERK
Name typed, printed, or stamped
My Commission Expires: ____________
Self Service Packet #68 (Page 9 of 13)
Petition for Disposition of Personal Property Without Administration
Verified Statement, Page 3 of 3
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AFFIDAVIT OF HEIRSHIP
As to
(Name of Deceased)
STATE OF Florida
COUNTY OF Palm Beach
I, , of lawful age, residing at
,
being first duly sworn, upon oath deposes and says: That affiant was personally well acquainted
with the above named decedent, during his (or her) lifetime, having known him (or her) for
years, and that affiant bears the following relationship to said decedent, to-wit:
Said decedent departed this life in Palm Beach County, State of FL on or about
20 , being ____ years old at the date of his (or her) death.
Affiant further states that affiant was well acquainted with the family and close relatives of the
said decedent, and that the following statements and the answers to the following questions are
based upon the personal knowledge of affiant and are true and correct:
1. Did the decedent leave a will? . If so, has the will been admitted to probate?
. In what county? .When?
2. Has an administrator/executor been appointed for the estate of said decedent?
If so, give name and address of administrator or executor
.
3. Give name and address of surviving widow or widower of decedent:
If not living, give date of death
4.
If the decedent was married more than once, give name of former husband or wife and
state whether said former spouse is dead or divorced:
.
.
.
5. On the blank lines below, provide information requested for all children of decedent:
Name of
Child(ren)
Age
Address Living?
Date of
Death
By Which
Spouse
Self Service Packet #68 (Page 10 of 13)
Affidavit of Heirship, Page 1 of 3
6. If a deceased child left decedents, give the following information:
Name of Deceased Child:
Did he/she leave a will?
Name of Child(ren) Living? Date of Death By Which Spouse
Name of Deceased Child:
Did he/she leave a will?
Name of Child(ren) Living? Date of Death By Which Spouse
Name of Deceased Child:
Did he/she leave a will?
Name of Child(ren) Living? Date of Death By Which Spouse
Name of Deceased Child:
Did he/she leave a will?
Name of Child(ren) Living? Date of Death By Which Spouse
7. Did the decedent have any legally adopted children or step –children taken into his or her
home? . If so, write their names, ages, and addresses in the blank
lines below and indicate as to each whether adopted or step-child:
Name
Adopted or Step-Child
Age Address
Self Service Packet #68 (Page 11 of 13)
Affidavit of Heirship, Page 2 of 3
_________________________________
_________________________________
8. State (so far as known to affiant) whether any inheritance tax is due on the estate of
decedent or whether any inheritance tax thereon has been paid: .
9. Give below the names and addresses (together with other information called for) of the
surviving father, mother, brothers, and sisters of decedent:
Name Relationship Age Address or, if Deceased, Date of Death
10. Give below the names and addresses (together with other information called for) of the
surviving children of any deceased brother or sister of the decedent:
Name of Child
Date
of
Birth
Address or, if Deceased,
Date of Death
Name of Father and Mother
Signature of Affiant:
Address:
Dated:
STATE OF FLORIDA
COUNTY OF __________________
The foregoing instrument was acknowledged before me by means of ☐ physical presence or ☐ online
notarization, this ___ day of ____________, ________, by __________________, who is personally
known to me or has produced __________________ as identification.
[Notary Seal]
NOTARY PUBLIC or DEPUTY CLERK
Name typed, printed, or stamped
My Commission Expires: ____________
Self Service Packet #68 (Page 12 of 13)
Affidavit of Heirship, Page 3 of 3
_________________________________
_________________________________
AFFIDAVIT/WAIVER/CONSENT TO DISBURSEMENT OF FUNDS
IN RE: THE ESTATE OF:
FILE NUMBER:
I, (Name of beneficiary)
as of the probate decedent, do agree to
the disbursement of all estate assets to: (Name of person to receive assets)
Under penalties of perjury, I declare that I have read the foregoing and the facts alleged are
true, to the best of my knowledge and belief.
Signature:
Address:
Dated:
STATE OF FLORIDA
COUNTY OF __________________
The foregoing instrument was acknowledged before me by means of ☐ physical presence or ☐ online
notarization, this ___ day of ____________, ________, by __________________, who is personally
known to me or has produced __________________ as identification.
[Notary Seal]
NOTARY PUBLIC or DEPUTY
CLERK
Name typed, printed, or stamped
My Commission Expires: ____________
Self Service Packet #68 (Page 13 of 13)
Affidavit/Waiver/Consent to Disbursement of Funds, Page 1 of 1
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Joseph Abruzzo Clerk of The Circuit Court & (Clerk of the Circuit Court & Comptroller, Palm Beach County)

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Completed 5 July 2021

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