Affidavit for Collecting Personal Property in a Small Estate Proceeding (1) (2) Being first duly sworn, I state that: 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) (5) (6) (7) The value of the entire estate subject to administration, wherever located, less liens and encumbrances, does not exceed $100,000; 30 days have elapsed since the death of the decedent; No application or petition for the appointment of a personal representative is pending or has been granted in any jurisdiction; 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 Such indebtedness, tangible personal property or instrument evidencing a debt, obligation, stock, or chose in action include: ______________________________________________________________ ______________________________________________________________
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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.
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Small Estate Affidavit February 2008