Fill and Sign the Small Estate Affidavit for Estates under 50000 North Dakota Form

SMALL ESTATE AFFIDAVIT Collection of Personal Property State of North Dakota County of ______________ I, ____________________________________________________________________, upon being duly sworn, state on my oath that: 1. My post office address is: ___________________________________________________ 2. My residence address is: ___________________________________________________ 3. I am a legal successor to the decedent, ______________________________________, who resided at _____________________________________________________________. 4. The decedent passed from this life on the _____ day of ________________, 20____. 5. The value of the decedent’s entire estate subject to distribution or succession under chapters 30.1-01 through 30.1-23, wherever located, less liens and encumbrances, does not exceed fifty thousand dollars ($50,000). 6. At least thirty (30) days have elapsed since the death of the decedent. 7. No application or petition for the appointment of a personal representative is pending or has been granted in any jurisdiction. 8. I am entitled to payment or delivery of the property hereby claimed. THE FOREGOING STATEMENT IS MADE UNDER THE PENALTIES OF PERJURY. ________________________________________ Signature of Affiant 1 STATE OF NORTH DAKOTA COUNTY OF _____________________ On this ________ day of __________________, in the year __________, before me personally appeared _________________________, known to me (or proved to me on the oath of ___________________________) to be the person who is described in and who executed the within and foregoing instrument, and acknowledged to me that ________________________________________________ (he/she/they) executed the same. (Seal) _____________________________ Notary Public Printed Name: _________________ Commission Expires: _________________ 2