STATE OF SOUTH CAROLINA	) )	IN THE PROBATE COURT
COUNTY OF GREENVILLE	)
)	FILING OF A WILL FOR RECORD
INTHE MATTER OF:	)
)	CASE NUMBER: __________________
(Decedent)	)

I.	Decedent Information:

Full Legal Name (including all known names):
Date of Death:
Age at Date of Death:
Address on Date of Death:
If the above address is the address of a nursing home, prison, or other residential facility, please give the last address of the Decedent prior to entering the facility: __________________________________________________.

2.	Venue for filing the Will in this County is proper because Decedent was domiciled in this County at date of death.

3.	The execution date of the Will:	____________________________________________________________

Codicil(s):	____________________________________________________________,

and the documents are attached hereto.

4.	Is there a Memorandum that disposes of tangible personal property pursuant to SCPC 62-2-512?

NO	YES If yes, attach hereto.

Pursuant to SCPC 62-2-901, the undersigned delivers the Will of the above-referenced Decedent to the office of the Probate Court of the above County.

Executed this ______ day of ________________________________, 20____.

Signature:
Print Name:
Address:
Telephone (Work):
(Home):
(Cell):
Email:
Relationship to Decedent/Estate:

FILING A WILL FOR RECORD DOES NOT COMMENCE A PROBATE

PROCEEDING IN ACCORDANCE WITH SCPC 62-3-108 AND IS NOT

SUFFICIENT FOR THE TRANSFER OF TITLE OF DECEDENT’S ASSETS.

COURT USE ONLY $10 Filing Will Fee Paid: ___________ JA: _____ or Credit Card $10 News ad Fee Paid: ___________ JA: _____ or Credit Card