4B-504

STATE OF NEW MEXICO

IN THE PROBATE COURT

_______________ COUNTY

                                                                                                            No. __________

IN THE MATTER OF THE ESTATE OF

______________________, DECEASED.

CERTIFICATE OF FULL ADMINISTRATION

AND RELEASE OF PROPERTY LIEN

The personal representative has filed an application stating that the appointment of the personal representative of this estate has terminated, no action concerning this estate is pending in any court and one (1) year has passed since the personal representative filed the closing statement. The court certifies that the personal representative appears to have fully administered this estate.

This certificate discharges any lien on any property given to secure the obligation of the personal representative in lieu of bond or any surety, but does not preclude action against the personal representative or the surety.

__________________________

Probate Judge

Submitted by:

_____________________________________

Signature of personal representative

_____________________________________

Printed name

_____________________________________

Street address

________________________________

City, state and zip code

_____________________________________

Telephone number