Pc212 Form PDF Details

The process of settling a decedent's estate can often be complex, requiring careful navigation through legal procedures. Within the state of Connecticut, the Affidavit in Lieu of Probate of Will/Administration (PC-212 form) offers a streamlined method for handling smaller estates. This form is specifically designed for use under the conditions outlined by Connecticut General Statutes (C.G.S.) section 45a-273, which allows for expedited processing when the decedent has not left behind any solely owned real estate and the total value of their solely owned personal property does not exceed $40,000. The PC-212 form facilitates a simplified process where a petitioner, who may be a surviving spouse, next of kin, or someone with a vested interest in the estate, can settle the decedent’s estate without undergoing the formal probate proceedings. This involves the allocation of the decedent’s assets towards paying off funeral expenses, last illness bills, or any other outstanding claims, and then distributing the remaining assets to the heirs or beneficiaries. The form requires detailed information on the assets, the decedent's last expenses, and any claims against the estate, while also providing space for the petitioner to request the order of asset distribution. This process is an essential part of estate administration in Connecticut, offering a less burdensome alternative to traditional probate for eligible estates.

QuestionAnswer
Form NamePc212 Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namespc212, ct probate court form pc 212, pc 212, lieu court connecticut

Form Preview Example

Affidavit in Lieu of Probate

C O N N E C T I C U T P R O B A T E C O U R T S

of Will/ Administration

 

PC-212 REV. 10/17

 

 

 

R E C E I V E D :

 

Instructions:

1) This form may be used to settle a decedent’s estate using the small estates procedure under C.G.S.

 

section 45a-273. The small estates procedure may be used only if both of the following conditions

 

are met: (a) the decedent had no solely owned real estate and (b) the total value of all of the

 

decedent’s personal property does not exceed $40,000.

2)The small estates procedure is a simplified method of settling an estate that avoids formal probate proceedings. Under the procedure, the decedent’s assets may be used to: (a) pay the decedent’s funeral expenses and the expenses of administering the estate (these are referred to as expenses), pay claims associated with the decedent’s last illness or other claims that the decedent owed at the time of death (these are referred to as claims) or (b) reimburse a person who paid expenses or claims from nonprobate assets. Any assets remaining after payment of expenses and claims are then distributed to the decedent’s heirs or beneficiaries.

3)Attach PC-212A, Request for Order of Distribution, if (a) assets exceed expenses and claims or (b) a person who paid expenses or claims with nonprobate assets waives reimbursement.

4)For further information, see C.G.S. sections 45a-273, 45a-365, 17b-95 and 18-85b and Probate Court Rules of Procedure, section 30.12.

5)Type or print the form in ink. Use Second Sheet, PC-180, or an additional sheet, if more space is needed. File two copies of the form with the Probate Court where the decedent resided.

Probate Court NameDistrict Number

Estate of (Include all names and initials under which assets were held by the decedent.) Date of Death

Decedent’s Residence at Time of Death (Include full address.)

Petitioner (Name, address and telephone number.)

Relationship to Decedent, if any

___________________________________________________________________________________________________________

THE PETITIONER represents that:

 

The petitioner is the surviving spouse of the decedent.

 

There is no surviving spouse, and the petitioner is a next of kin of the decedent.

There is no surviving spouse or next of kin, or such surviving spouse or next of kin has refused to file such affidavit, and the petitioner has the following interest in the estate:

No petition for settlement of the estate is pending in any Probate Court.

The decedent died owning no real estate, other than survivorship real estate, if any, in the State of Connecticut. The market value of the solely owned assets listed below does not exceed $40,000.

The decedent

did

did not ever receive aid or care from the State of Connecticut.

Affidavit In Lieu of Probate of Will/Administration

PC-212 Page 1 of 3

Affidavit in Lieu of Probate

C O N N E C T I C U T P R O B A T E C O U R T S

of Will/ Administration

 

PC-212 REV. 10/17

 

The decedent left a will dated _______________________________, which is not being presented for probate.

The decedent left no will.

_________________________________________________________________________________________________

Assets

The decedent died owning the following solely owned assets: (List specific account or vehicle identification (VIN) numbers.)

Description

Fair Market Value

Total $

________________________________________________________________________________________________

Expenses and Claims

The expenses and claims are as follows:

Creditor

Amount (If already paid, state

 

name of person who paid.)

Funeral Expenses

Administration Expenses

(For example, probate fees and attorney's fees.)

Claims due for Last Sickness

Taxes due State of Connecticut or the United States

Other Claims

Affidavit In Lieu of Probate of Will/Administration

PC-212 Page 2 of 3

Affidavit in Lieu of Probate

 

of Will/ Administration

C O N N E C T I C U T P R O B A T E C O U R T S

PC-212 REV. 10/17

 

The funeral director has not been paid, and the petitioner requests that the court order payment from the assets listed above by: (a) direct transfer or (b) sale of assets.

The following creditors have not been paid, and the petitioner requests that the court order payment from the assets listed above by: (a) direct transfer or (b) sale of assets:

The expenses, claims and taxes listed above have been paid in the manner prescribed by C.G.S. section

45a-365 or, if the decedent received aid or care from the state of Connecticut or is obligated to pay the costs of incarceration, in the manner prescribed by C.G.S. sections 17b-95 or 18-85b, respectively.

Assets exceed expenses and claims, and form PC-212A is attached.

One or more of the children listed on PC-212A is/are not also children of the surviving spouse.

WHEREFORE, the petitioner requests the court to authorize the transfer of the assets listed above and/or the sale of the assets and payment of the proceeds, as indicated above.

The representations made in this affidavit are made under the penalty of false statement.

Signature of Petitioner_____________________________

Date_____________________________

Affidavit In Lieu of Probate of Will/Administration

PC-212 Page 3 of 3

CONFIDENTIAL INFORMATION/

 

Petition/Affidavit in Lieu of Probate of Will/

C O N N E C T I C U T P R O B A T E C O U R T S

Administration

 

PC-212CI REV. 10/17

 

 

 

 

FOR COURT USE ONLY

RECEIVED:

 

Probate Court Name

District Number

 

 

 

 

 

 

 

In the Matter of

, deceased

 

 

 

 

 

 

The social security number of the decedent named above is required in connection with this proceeding.

Social Security Number _______________________________________________________________________

Confidential Information/Affidavit In Lieu of Probate of Will/Administration

PC-212CI

How to Edit Pc212 Form Online for Free

Making use of the online PDF editor by FormsPal, you can easily complete or modify connecticut small estate affidavit here. Our tool is continually evolving to deliver the best user experience attainable, and that's thanks to our commitment to continual improvement and listening closely to customer comments. All it takes is a couple of simple steps:

Step 1: Access the form in our tool by clicking the "Get Form Button" at the top of this page.

Step 2: Once you launch the online editor, you will find the form all set to be completed. Other than filling in different blank fields, you could also perform various other things with the PDF, specifically writing any words, changing the initial textual content, adding images, placing your signature to the form, and a lot more.

As for the fields of this particular document, here is what you should do:

1. Complete your connecticut small estate affidavit with a selection of necessary blank fields. Collect all the information you need and ensure absolutely nothing is forgotten!

Learn how to fill out pc 212 part 1

2. After this part is finished, you're ready put in the necessary specifics in No petition for settlement of the, Affidavit In Lieu of Probate of, and PC Page of in order to move forward further.

PC Page  of, No petition for settlement of the, and Affidavit In Lieu of Probate of in pc 212

3. This next step will be focused on Affidavit in Lieu of Probate of, The decedent left a will dated, The decedent died owning the, Fair Market Value, Assets, and Total - type in each one of these empty form fields.

Learn how to complete pc 212 step 3

It is possible to make a mistake while filling in the Total, thus be sure to look again prior to deciding to finalize the form.

4. Completing Creditor, Amount If already paid state name, Funeral Expenses, Administration Expenses For, Claims due for Last Sickness, Taxes due State of Connecticut or, and Other Claims is paramount in this section - be sure to be patient and be mindful with each field!

Funeral Expenses, Taxes due State of Connecticut or, and Administration Expenses For in pc 212

5. Now, the following last segment is what you'll want to wrap up before submitting the PDF. The blanks in this instance include the following: The funeral director has not been, The expenses claims and taxes, Assets exceed expenses and claims, One or more of the children listed, and WHEREFORE the petitioner requests.

The right way to fill in pc 212 stage 5

Step 3: Right after you have reread the details in the fields, simply click "Done" to finalize your form at FormsPal. After getting afree trial account with us, you'll be able to download connecticut small estate affidavit or email it right away. The document will also be available from your personal account with your each and every modification. When you work with FormsPal, it is simple to fill out forms without needing to worry about personal information leaks or entries being shared. Our secure system helps to ensure that your private data is stored safely.