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 thirty thousand dollars ($30,000.00).
7. That at least thirty (30) days have elapsed since the death of the decedent.
1
8. That no application or petition for the appointment of a personal representative is pending
or has been granted in any jurisdiction.
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:
____________________
Disclaimer
This form is provided without any warranty, express or implied, as to its legal effect and
completeness. Please use at your own risk. If you have a serious legal problem, we suggest that
you consult an attorney.
Form #0002017