Affidavit For Collecting Personal Property In A Small Estate Proceeding Form printable pdf download

Affidavit For Collecting Personal Property In A Small Estate Proceeding Form

Affidavit for Collecting Personal Property in a Small Estate Proceeding

(1)

Being first duly sworn, I state that:

(2)

This affidavit is made for the purpose of collecting the personal property of

___________________________________________________, who died on

___________________, as authorized by §75-3-1201;

(3)

(a)

I am the decedent’s successor and entitled to payment or delivery of

the property;

(b)

I am the duly authorized agent of __________________________,

who is the decedent’s successor;

(4)

The value of the entire estate subject to administration, wherever located,

less liens and encumbrances, does not exceed $100,000;

(5)

30 days have elapsed since the death of the decedent;

(6)

No application or petition for the appointment of a personal representative is

pending or has been granted in any jurisdiction;

(7)

The decedent’s successor is entitled to payment or delivery of any

indebtedness owed to the decedent, any tangible personal property belonging

to the decedent, and any instruments evidencing a debt, obligation, stock, or

chose in action belonging to the decedent; and

(8)

Such indebtedness, tangible personal property or instrument evidencing a

debt, obligation, stock, or chose in action include:

______________________________________________________________

►

Sign here

Date:

Typed or printed name

I certify that __________________________, who is known to me or who presented

satisfactory identification, has, while in my presence and while under oath or affirmation,

voluntarily signed this document and declared that it is true.

Date:

Sign here ►

Typed or printed name:

Seal:

Small Estate Affidavit

February 2008

Affidavit For Collecting Personal Property In A Small Estate Proceeding Form

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