STATE OF SOUTH CAROLINA	)	IN THE PROBATE COURT

)

COUNTY OF GREENVILLE	)	STATEMENT OF VALUE AND INCOME FOR

)	PURPOSES OF WAIVING BOND BY PROFESSIONAL

IN THE MATTER OF	)

__________________________________	)	CASE NUMBER: _________________

Decedent / Incapacitated Person	)

The undersigned, after being duly sworn, states that:

Pursuant to SCPC, §62-3-603, as a fiduciary, I am required to provide a proper fiduciary bond unless bond waivers can be obtained or unless the bond is waived by the Court.

2.	My best estimate of the value of the personal property in this matter is $__________________.

3.	The income expected during the next year from the personal property in this matter is $____________________.

4.	The total of this value and income is $____________________.

5.	I am currently fiduciary for other estate/conservator cases with a value totaling $_______________________.

6.	I hereby request that the fiduciary bond requirement be waived for me in the above case since:

	I hereby certify that I have a sufficient amount of liability insurance in place on this date and shall maintain sufficient insurance coverage until the above estate is closed.

	As an attorney, I am an officer of the Court and hereby certify that I have a sufficient liability insurance in place on this date and shall maintain sufficient insurance coverage until the above estate is closed.

SWORN to before me this _______ day of	Signature:	__________________________________________

___________________________, 20____	Name:	__________________________________________

Address:	__________________________________________

__________________________________	__________________________________________

Notary Public for South Carolina	Telephone (Work):	__________________________________________

My commission expires: ______________	(Home):	__________________________________________

(Cell);	__________________________________________

Email:	__________________________________________

ORDER

IT IS HEREBY ORDERED that a fiduciary bond in the above case is:

Waived

Shall be posted in the amount of $_________________

Other: _______________________________________

Executed this _____ day of ____________________________, 20____.

__________________________________________

Chadwicke L. Groover, Probate Court Judge

Caroline M. Horlbeck, Associate Probate Court Judge

Elizabeth P. Wiygul, Associate Probate Court Judge