4B-503

STATE OF NEW MEXICO

IN THE PROBATE COURT

_______________ COUNTY

No. __________

IN THE MATTER OF THE ESTATE OF

______________________, DECEASED.

APPLICATION FOR CERTIFICATE

OF FULL ADMINISTRATION

Over one (1) year has passed since the applicant has filed applicant's Verified Statement of the Personal Representative, and the appointment of applicant as personal representative has terminated. As far as applicant knows, there is no action concerning this estate pending in any court.

Applicant requests that the court issue its Certificate of Full Administration and Release of Property Lien discharging any lien against applicant's property given to secure the obligation of the personal representative in lieu of bond or any surety.

_____________________________________

Signature of personal representative

_____________________________________

Printed name

_____________________________________

Street address

_____________________________________

City, state and zip code

_____________________________________

Telephone number

STATE OF NEW MEXICO              )

                                                            )ss.

COUNTY OF _________________  )

I, ________________, being first duly sworn, on oath state that I have read the foregoing application and that the statements in it are true to the best of my knowledge.

                                                                        _______________________________

Applicant

SUBSCRIBED AND SWORN TO before me this ____ day of ________________, ______ by __________________.

(Seal)

_____________________________

Notary Public

                                                                        My commission expires: ____________