STATE OF SOUTH CAROLINA	)

)	IN THE PROBATE COURT

COUNTY OF:	)
)	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 a 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 document are attached hereto.

4.	Does Decedent’s Will refer to a Memorandum (List disposing of tangible personal property)?

NO	YES If referred to memorandum(s) exist, 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.

FORM #306ES (1/2014)

62-2-901

STATE OF SOUTH CAROLINA

ssmith

2013-10-29

Bryant, Sakoya R.

County of Greenville (SC)