Haw. Prob. R. Flag Sheet 1-D

Probate No.

(Attorney for Petitioner or Pro Se Petitioner)

Tel. No. Estate of

I. Property

State the following information:

1. Address of the property:

2. Tax Map Key Number:

II. Appraisal

1. Has an appraisal been filed? Yes No

2. If “Yes,” state the appraised value. $

3. If “No,” state the reasons why no appraisal has been filed.

III. Offer

1. State the amount of the offer. $

2. State the names(s) of the buyer(s), and their relationship, if any, to the estate, personal representative, or attorney.

IV. Affidavit of Posting at Courthouse (Notice of Sale)

Date the Notice was posted (at least 15 days prior to hearing):

V. Proof of Service

1. List or attach a list of all interested persons who are entitled to notice of hearing.

Basis Upon Which Person

Name is Entitled to Notice

2. Was notice served on all interested persons

by first class mail, postage prepaid? Yes No

3. If “No,” were waivers of notice obtained and filed for all

interested persons? Yes No

4. If “No,” list the names of all interested persons who have not been served.

VI. Minimum Bid Price (HRS §531-29) $

VII. Fees

1. Broker

a. Seller’s Broker % $ b. Buyer’s Broker % $

c. Total Amount of Commission % $

2. Personal Representative $

3. Attorney $

VIII. Financing

1. Cash Sale Yes No

2. If “No,” describe the terms of the sale.

IX. Objection or Opposition

1. Are you aware of any opposition or objection to this petition? Yes No

2. If “Yes,” state by whom (include the relationship of the objector to the decedent or beneficiaries) and the grounds for the objection, if known.

THE UNDERSIGNED HEREBY CERTIFIES THAT TO THE BEST OF SAID INDIVIDUAL’S KNOWLEDGE AND BELIEF ALL OF THE FOREGOING FACTS

AND FIGURES ARE TRUE AND CORRECT.

Attorney for Petitioner or Pro Se Petitioner

Hearing Date: