North Dakota Affidavit For Collection Of Personal Property Of The Decent Form

Transcript

AFFIDAVIT FOR COLLECTION OF PERSONAL PROPERTY OF THE DECEDENT NDCC 30.1-23-01 North Dakota Department of Transportation, Motor Vehicle Division 608 E BOULEVARD AVE BISMARCK ND 58505-0780  Telephone: (701)328-2725  Web site: www.dot.nd.gov SFN 2916 (07-2009) Telephone Number Affiant's Legal Name Address City Name of Decedent State Zip Code Date of Death I, being duly sworn, state the following: 1. Affiant is successor of above named decedent. 2. Affiant claims to be successor on the following basis: 3. The value of the entire estate of the decedent wherever located, less liens and encumbrances, does not exceed $50,000.00. 4. Thirty days have elapsed since the death of the decedent. 5. An application or petition for the appointment of a personal representative of the decedent's estate is not pending or  has not been granted in any jurisdiction. 6. The affiant, as successor of the decedent, is entitled to the payment of any sums of money due and owing the decedent and to the delivery of all instruments evidencing a debt, obligation, stock or chose in action belonging to the decedent. X Affiant's Legal Signature Date State of County of Subscribed and sworn to before me this X SEAL Signature of Notary Public My Commission Expires day of , .