Affidavit For Collection Of Personal Property Of The Decedent
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Affidavit For Collection Of Personal Property Of The Decedent Form. This is a North Dakota form and can be use in District Court Statewide.
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ND PROBATE CODE FORM 1 Page 1
10/01/03
AFFIDAVIT FOR COLLECTION OF PERSONAL PROPERTY OF THE DECEDENT. (N.D.C.C. 30.1-23-01).
Name, Address, and Telephone No. of Attorney
Space below for use of District Court only
Probate No. _______________
Attorney ___________________ for:
IN THE DISTRICT COURT OF _________________________ COUNTY, STATE OF NORTH DAKOTA
In the Matter of the Estate of _________________________________________________________, Deceased.
AFFIDAVIT FOR COLLECTION OF PERSONAL PROPERTY
OF THE DECEDENT
STATE OF NORTH DAKOTA
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County of ___________________ }
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_________________________________________________________________, being duly sworn, states the following:
1. I am the successor of __________________________________________________________________________
who died on _________________________________, ______________, because:
2. The value of the entire estate of the decedent, wherever located, less liens and encumbrances, does not exceed $15, 000.
3. Thirty (30) days have elapsed since the death of the decedent.
4. No application or petition for the appointment of a personal representative of the decedent's estate is pending or has been
granted in any jurisdiction.
5. (a)
(b)
As successor of the decedent, I am entitled to the payment of any sums of money due and owing the decedent and to
the delivery of all tangible personal property belonging to the decedent and to the delivery of all instruments
evidencing a debt, obligation, stock or chose in action belonging to the decedent.
As successor of the decedent, I am entitled to payment or delivery of*
Page 1 of NDPC FORM 1
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ND PROBATE CODE FORM 1 Page 2
10/01/03
___________________________________________________________________________________________________
___________________________________________________________________________________________________
belonging to the decedent and presently held by:
___________________________________________________________________________________________________
___________________________________________
Affiant
Subscribed and sworn to before me this ____________ day of _____________________________, __________.
____________________________________________
Notary Public
My Commission expires: ___________________________
______________________ County, North Dakota
(SEAL)
*Specify debt, personal property, instrument, obligation, stock or chose in action.
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