Fill and Sign the Small Estate Affidavit for Estates under 50000 New Mexico Form

SMALL ESTATE AFFIDAVIT Collection of Personal Property N.M.S.A. §45-3-1201 STATE OF NEW MEXICO IN 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. That no application or petition for the appointment of a personal representative is pending or has been granted in any jurisdiction. 1 9. That the claiming successor is entitled to payment or delivery of the property THE FOREGOING STATEMENT IS MADE UNDER THE PENALTIES OF PERJURY. ________________________________________ Signature of Affiant STATE OF NEW MEXICO COUNTY OF __________________ This instrument was acknowledged before me on __________________ (date) by _____________________________________________________ (name of person(s)). _________________________________ Notary Public Printed Name: __________________ My commission expires: ____________________ 2