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Colorado dr 2712 form DR 2712 10/31/14 COLORADO DEPARTMENT OF REVENUE Division of Motor Vehicles Title Section www. colorado. gov/revenue State of Colorado Affidavit for Collection of Personal Property Pursuant to Small Estate Proceeding C. R*S* 15-12-1201 State County Name of Successor Name of Deceased I/we are successor s of the deceased* The fair market value of property owned by the decedent and subject to the disposition by will or intestate succession at the time of his or her death wherever that property is located less liens and encumbrances does not exceed sixty-four thousand dollars 64 000. At least ten days have elapsed since the date of death of the decedent. No application or petition for appointment of a personal representative is pending or has been granted in any jurisdiction* owing to the decedent and all tangible personal property belonging to the decedent including the following described vehicle Death certificate must accompany small estate affidavit. Year Make Model VIN Signature Date Subscribed and affirmed or sworn to before me this day of 20 in the county of State of Colorado. gov/revenue State of Colorado Affidavit for Collection of Personal Property Pursuant to Small Estate Proceeding C. R*S* 15-12-1201 State County Name of Successor Name of Deceased I/we are successor s of the deceased* The fair market value of property owned by the decedent and subject to the disposition by will or intestate succession at the time of his or her death wherever that property is located less liens and encumbrances does not exceed sixty-four thousand dollars 64 000. R*S* 15-12-1201 State County Name of Successor Name of Deceased I/we are successor s of the deceased* The fair market value of property owned by the decedent and subject to the disposition by will or intestate succession at the time of his or her death wherever that property is located less liens and encumbrances does not exceed sixty-four thousand dollars 64 000. At least ten days have elapsed since the date of death of the decedent. No application or petition for appointment of a personal representative is pending or has been granted in any jurisdiction* owing to the decedent and all tangible personal property belonging to the decedent including the following described vehicle Death certificate must accompany small estate affidavit. At least ten days have elapsed since the date of death of the decedent. No application or petition for appointment of a personal representative is pending or has been granted in any jurisdiction* owing to the decedent and all tangible personal property belonging to the decedent including the following described vehicle Death certificate must accompany small estate affidavit. Year Make Model VIN Signature Date Subscribed and affirmed or sworn to before me this day of 20 in the county of State of Colorado. gov/revenue State of Colorado Affidavit for Collection of Personal Property Pursuant to Small Estate Proceeding C. R*S* 15-12-1201 State County Name of Successor Name of Deceased I/we are successor s of the deceased* The fair market value of property owned by the decedent and subject to the disposition by will or intestate succession at the time of his or her death wherever that property is located less liens and encumbrances does not exceed sixty-four thousand dollars 64 000. At least ten days have elapsed since the date of death of the decedent. No application or petition for appointment of a personal representative is pending or has been granted in any jurisdiction* owing to the decedent and all tangible personal property belonging to the decedent including the following described vehicle Death certificate must accompany small estate affidavit.

Illinois small estate affidavi... STATE OF ILLINOIS COUNTY OF SMALL ESTATE AFFIDAVIT I name of affiant on oath state a My post office address is b My residence address is and c I understand that if I am an out-of-state resident I submit myself to the jurisdiction of Illinois courts for all matters related to the preparation and use of this affidavit. Print Reset Save AN AFFIDAVIT TO JESSE WHITE THE SECRETARY OF THE STATE OF ILLINOIS PURSUANT TO 755 ILCS 5/ART. XXV OF THE PROBATE ACT ILLINOIS COMPILED STATUTES AS AMENDED BY PUBLIC ACT 9 8 - 0 836 EFF* 1-1-15. My agent for service of process in Illinois is NAME ADDRESS CITY TELEPHONE effectuated the Clerk of the Circuit Court of County Judicial Circuit Illinois is recognized by Illinois law as my agent for service of process. The decedent s name is The date of the decedent s death was and I have attached a copy of the death certificate hereto. No letters of office are now outstanding on the decedent s estate and no petition for letters is contemplated or pending in Illinois or in any other jurisdiction to my knowledge. The gross value of the decedent s entire personal estate including the value of all property passing to any party either by intestacy or under a will does not exceed 100 000 in value and consists of the following list each asset and its fair market value Including vehicle s described below Make of Vehicle Body Type Year Model Vehicle Identification Number Last licensed in the State of Illinois in Year License Plate Number s Mark X either a or b a All the decedent s funeral expenses and other debts have been paid or b unpaid debts are listed and classified as follows Class 1 Funeral and burial expenses which include reasonable amounts paid for a burial space crypt or niche a marker on the burial space and care of the burial space crypt or niche expenses of administration and statutory custodial claims Name Post Office AddressAmount Class 2 Surviving spouse s award or child s award if applicable Class 3 Debts due the United States Class 4 Money due employees of the decedent of not more than 800 for each claimant for services rendered within four 4 months prior to the decedent s death and expenses attending the last illness Class 5 Money and property received or held in trust by the decedent that cannot be identified or traced Class 7 All other claims 7. 5 I understand that all valid claims against the decedent s estate described in paragraph 7 must be paid by me from the decedent s estate before any distribution is made to any heir or legatee. I further understand that the decedent s estate should pay all claims in the order set forth above and if the decedent s estate is insufficient to pay the claims in any one class the claims in that class shall be paid pro rata* There is no known unpaid claimant or contested claim against the decedent except as stated in paragraph 7. a The names and places of residence of any surviving spouse minor children and adult dependent children of the decedent are as follows Name and Relationship Place of Residence Age of Minor Child Note An adult dependent child is one who is unable to maintain himself and is likely to become a public charge.

Affidavit of repossession illi... Print Secretary of State Reset This space for use by Secretary of State Affidavit of Repossession (625 ILCS 5/3-114(f-5)(3)) Secretary of State Vehicle Services Department 501 S. Second St. Springfield,

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