Emergency Intervention Order - Harris County Clerk's Office

OFFICE OF STAN STANART
COUNTY CLERK, HARRIS COUNTY, TEXAS
PROBATE COURTS DEPARTMENT
IN MATTERS OF PROBATE § DOCKET NO.
§
PROBATE COURT NO. §
§ STYLE OF DOCKET:
HARRIS COUNTY, TEXAS § DECEASED
EMERGENCY INTERVENTION ORDER
On
, came on to be considered the Application for Emergency
Intervention by
, that the court has made a review of the application
and all attachments and finds that a necessity exists for this court to intervene and issue emergency orders for the payment of funeral
and burial expenses and/or the protection and storage of the decedent's personal property. The court further finds that the applicant
shall be responsible for any action taken herein. Strike through any provisions that do not apply.
It is THEREFORE, ORDERED as follows: [Strike through those portions of the Order which do not apply.]
1. That
[LIST THE NAMES, ACCOUNT NUMBERS, AND AMOUNTS THAT ALL PERSONS OR INSTITUTIONS ARE BEING
FROM THE DECEDENTS FUNDS]
ORDERED TO PAY
shall pay directly to
[THIS SHOULD NOT BE AN INDIVIDUAL]
who shall be responsible for providing for the disposition of the decedent's remains, including any and all funeral, burial, or
preparation services; transportation services, cremation or any other reasonable or
necessary services in an amount not to exceed the total sum of $ .
2. That
the funeral provider is authorized and instructed to pay for all transportation, funeral cremation or other reasonable or
necessary expenses not to exceed the above stated amount.
3. That the decedent's remains are to be and interred at
(BURIED/CREMATED)
(LOCATION OF REMAINS)
OR
4. That the applicant is authorized to inspect and inventory the decedent's personal property located at
.
[PROPERTY ADDRESS]
.
5. That is ordered to participate in the [NAME OF
LANDLORD OR REPRESENTATIVE] preparation of a detailed inventory to be filed with the county clerk in these proceedings.
6. That is authorized to secure and to take [NAME OF
LANDLORD OR REPRESENTATIVE] possession of any personal property of the decedent and to see that such property is stored at
the applicants expense for ninety (90) days or until an estate representative has been appointed.
7. That all powers authorized under this order shall expire ninety (90) days from this date or upon the date a personal
representative has qualified whichever first occurs.
8. That this order does not authorize the applicant to take any property into his or her possession except for any insurance
policies which names the applicant as the beneficiary.
Form No. I-02-31 (Rev. 01/01/2011) Page 1 of 2

9. The applicant and are further ordered to file [NAME
OF LANDLORD OR REPRESENTATIVE] the inventory to be prepared not later than ten (10) business days following the signing of
this order.
10. That is ordered to file directly with the [NAME OF
LANDLORD OR REPRESENTATIVE] county clerk in these proceedings any original Will, insurance policies or cash that may be
located within the premises at the time of inspection.
SIGNED .
JUDGE PRESIDING
Form No. I-02-31 (Rev. 01/01/2011) Page 2 of 2