Affidavit In Relation To Settlement Of Estate (Decedent Died On Or After 1-1-2009)
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Affidavit In Relation To Settlement Of Estate (Decedent Died On Or After 1-1-2009) Form. This is a New York form and can be use in Surrogates Court Statewide.
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Tags: Affidavit In Relation To Settlement Of Estate (Decedent Died On Or After 1-1-2009), SE-3A, New York Statewide, Surrogates Court
SURROGATE’S COURT OF THE STATE OF NEW YORK
COUNTY OF _________________________
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VOLUNTARY ADMINISTRATION, Estate of
AM ENDED AFFIDAVIT
IN RELATION TO SETTLEM ENT
OF ESTATE
UNDER ARTICLE 13, SCPA
(as of 1/2009)
____________________________________ ,
Deceased.
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STATE OF NEW YORK
COUNTY OF
File No._________________________
)
) ss.:
)
I, _________________________________________, being duly sworn, depose and say:
(Nam e)
1.
I am the voluntary adm inistrator/trix of the above-nam ed decedent and m ake this affidavit pursuant to Article 13 of the
Surrogate’s Court Procedure Act. The original and any am ended affidavits were filed on the following dates: [list dates]
2.
I was found qualified to act as the voluntary adm inistrator/trix of the above captioned estate by the
________________________County Surrogate’s Court on the __________ day of __________, 20 ________.
3.
The following item s of personal property, owned by the above-nam ed decedent, were not listed in paragraph 9 of the
Affidavit of Voluntary Adm inistration originally filed nor in any am ended affidavits filed with the court.
Items of Personal
Property
Separately Listed
______________________________
Value of Each Item
____________________________________
______________________________
____________________________________
Total $ ____________________
4.
For the item of personal property listed in paragraph 3, I require _______________________ additional certificates
of voluntary adm inistration.
The value of all of the decedent’s non-exem pt assets still does not exceed $30,000.00.
Sworn to be fore m e on
_______________, 20 ______
___________________________________
(Affiant)
___________________________________
(Print Nam e)
_________________________________
Notary Public
My Com m ission Expires:
(Affix Notary Stam p or Seal)
Signature of Attorney :_______________________________________________________________________________
Print Nam e:________________________________________________________________________________________
Firm Nam e:_________________________________________ Tel No. : _______________________________________
Address of Attorney:_________________________________________________________________________________
SE-3B *For use only where decedent died on or after January 1, 2009
SE-3B
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