Authorization For Payment Of Money Owed Decedent {E-431}

STATE OF NORTH CAROLINA County Name And Address Of Decedent File No. In The General Court Of Justice Superior Court Division Before the Clerk IN THE MATTER OF THE ESTATE OF: AUTHORIZATION FOR PAYMENT OF MONEY OWED DECEDENT G.S. 28A-25-6 Other Identifying Information (Account Number, Check Number, etc.) Social Security No. Date Of Death Name And Address Of Person/Entity Indebted To Decedent AUTHORIZATION It appears to the Court that the above-named person/entity owes money to the decedent named above and that the estate is one that may be administered in accordance with G.S. 28A-25-6. The above-named person/entity is hereby authorized to deliver all funds due the decedent to the undersigned Clerk to be administered in accordance with G.S. 28A-25-6. A receipt by the undersigned Clerk will be a complete release and discharge of you for the amount of payment made. Make check payable to: Clerk of Superior Court for the Estate of . Name And Address Of Clerk Of Superior Court Date Signature Deputy CSC Assistant CSC Clerk Of Superior Court SEAL AOC-E-431, Rev. 9/12 © 2012 Administrative Office of the Courts American LegalNet, Inc. www.FormsWorkFlow.com