Fill and Sign the Or Undue Influence in Executing This Agreement and that Form

1 SMALL ESTATE AFFIDAVIT Collection of Personal Property N.M.S.A. §45-3-1201 STATE OF NEW MEXICOIN THE PROBATE COURT__________________ COUNTY IN THE MATTER OF THE ESTATE OF No. __________ __________________, DECEASED. I, ________________________________, upon duly sworn, state on my oath that: 1. My post office address is: ________________________________________________ 2. My residence address is: ________________________________________________ 3. I am a successor to the decedent identified below as defined in the Uniform Probate Code, Chapter 45, New Mexico Statutes Annotated. All successors, including myself, of the decedent are as follows: Name/Relationship Address Share _______________________ _______________________ ___________________ _______________________ _______________________ ___________________ _______________________ _______________________ ___________________ _______________________ _______________________ ___________________ 4. The decedent's full name is ________________________________________________ 5. The date of the decedent's death was ___________________________________________, and I have attached a copy of the death certificate hereto. 6. That the value of the entire estate, wherever located, less liens and encumbrances, does not exceed fifty thousand dollars ($50,000.00). 7. That at least thirty (30) days have elapsed since the death of the decedent.
8. The decedent's date of birth at the time of death was and I have attached a copy of the birth document hereto. 9. For the last four (4) years before birth at least one (1) adult member of the family of the decedent was named in legal document as a witness or party. 10. At the time of death no children of the decedent were present, in full time, in the household of the decedent at the time of death, or had a legal connection with the decedent. 11. The total amount of the decedent's will be as follows: (a) the amount of any property that the decedent left in any trust, bequest, contract or other instrument, or (b) to the extent of any trust property the decedent left that is to be distributed before probate, bequests, contracts or other instruments, all which shall be paid, distributed and apportioned in accordance with the will of the decedent. 12. Any of the following property in the control (control?) of the named person, or someone with whom the named person was associated or affiliated, at or about the time of death, is subject to, or may have been subject to, a devise of or trust upon or in relation to such property if: 13. The decedent was (was a) surviving spouse of the named person at the time of death; or the estate was (was an) estate of the deceased person; or the decedent was a person or group of persons receiving an allowance or grant (an) individual or (others) under the program (or other) of the United States department of veterans affairs; or an individual or a group described in subsection 13 (b) of, c. 638 (c. 2c:6-2:12). 14. At the time of death the decedent had less than three (3) property (a) interests in real property (b) interests in personal property than that enumerated in the table next to the estate, or shares or (c) shareable items (d) interests in the decedent's real estate owned or held by a member of one (1) or more of the decedent's immediate family. 15. The total value of the property of the decedent at times specified is of at least thirty-one (31) 1000 (1000)