STATE OF NORTH CAROLINA SPECIAL PROCEEDINGS ACTION COVER SHEET County

File No.
STATE OF NORTH CAROLINA
In The General Court Of Justice
County
Name Of Petitioner 1
SPECIAL PROCEEDINGS ACTION COVER
SHEET
Tax ID/SSN
Name Of Petitioner 2
Tax ID/SSN
Rule 5(b), Rules of Practice For Superior and District Courts
Name Of Petitioner 3
Name And Address Of Attorney Or Party If Not Represented (complete for initial
appearance or change of address)
Tax ID/SSN
Name Of Respondent 1
VERSUS
Tax ID/SSN
Attorney Bar No.
Summons Submitted
Yes
Name Of Respondent 2
Tax ID/SSN
Name Of Firm
Summons Submitted
Yes
Tax ID/SSN
Telephone No.
FAX No.
No
Name Of Respondent 3
Counsel for
All Petitioners
Tax ID/SSN
Change of Address
Initial Appearance in Case
No
All Respondents
Only (List party(ies) represented)
Summons Submitted
Yes
No
APPLICATION
(check appropriate box)
Adoption (ADOP)
Motor Vehicle Lien G.S. 44A (MVLN)
Boundary Settlement (BNDR)
Name Change (NAME)
Cartway (CART)
Partition (PART)
Condemnation - Private Condemnor/Mill (CNDM)
Protective Services Adult (PRSE)
Dec Estate - Sell Land To Create Assets (PESE)
Surplus Funds - Determine Ownership (DOSF)
Decedent's Estate - Sell Prsnl Property (SLPS)
Sterilization (STRL)
Drainage - Individual/Corporation (DRNG)
Unknown Heirs - Proceeding To Determine (TDHE)
Drainage District - Establishment (DRDS)
Year's Allowance - Spouse/Child (SSCA)
Foreclosure (FORE)
Other (specify)
Incompetency (INCM)
Land Registration - Torrens Act (TORR)
Legitimation (LGMT)
Minor's Estate - Disburse Funds (DFND)
Minor/Incom Estate - Sale/Lease/Mortgage (MIES)
Date
Signature Of Attorney/Party
NOTE: All filings in special proceedings shall include as the first page of the filing a cover sheet summarizing the critical elements of the filing in a format prescribed by the
Administrative Office of the Courts, and the Clerk of Superior Court shall require a party to refile a filing which does not include the required cover sheet.
AOC-SP-550, Rev. 1/02
2001 Administrative Office of the Courts
(Over)
No.
Additional Petitioner(s)
No.
Additional Respondent(s)
AOC-SP-550, Side Two, Rev. 1/02
2001 Administrative Office of the Courts
Tax ID/SSN
Tax ID/SSN
Summons
Submitted
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No