AFFIDAVIT IN LIEU OF ADMINISTRATION PC-212 REV. 10/08
STATE OF CONNECTICUT COURT OF PROBATE [Type or print in black ink. File in duplicate.] [Use Second Sheet, PC-180, for additional data.] DISTRICT NO.
TO: COURT OF PROBATE, DISTRICT OF
IN THE MATTER OF [Include all names and initials under which any asset was held.]
SOCIAL SECURITY NO.
Hereinafter referred to as the decedent. DECEDENT'S RESIDENCE AT TIME OF DEATH [Include full address.]
DATE OF DEATH
PETITIONER [Name, address, zip code, and telephone number]
RELATIONSHIP TO DECEDENT, if any
THE PETITIONER under oath hereby applies to the court of probate for authorization to sell and/or transfer personal property of the decedent without administration or probate of will and states that: The petitioner is the surviving spouse of said decedent. There is no surviving spouse,