Form Mmb-00375-07 - Affidavit For Collection Of Personal Property For Small Estates

Download a blank fillable Form Mmb-00375-07 - Affidavit For Collection Of Personal Property For Small Estates in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Mmb-00375-07 - Affidavit For Collection Of Personal Property For Small Estates with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

AFFIDAVIT FOR COLLECTION OF PERSONAL PROPERTY FOR SMALL ESTATES
PURSUANT TO MINNESOTA STATUTES §524.3-1201
________________________________________________________
STATE OF MINNESOTA, COUNTY OF
_______________________________________________
Affiant,
, being first duly sworn, deposes and states:
1.
______________________________________________________________________;
Affiant resides at
______________________________________
______
________________, _____
2.
died at the age of
on
;
________________________________________________________,
and at the time of death, resided at
___________________________
________________
___________________
City of
, County of
, State of
,
__________________________
______________________
having a Social Security Number
and Employee ID
.
_______________________________
3.
Affiant, as the
, is the successor of the above identified decedent
_________________________
and is entitled to
percent of any property owed the decedent;
4.
The value of the entire probate estate, wherever located, less liens and encumbrances, does not exceed $50,000.00;
5.
Thirty (30) days have elapsed since the death of the decedent;
6.
No application or petition for the appointment of a personal representative is pending or has been granted in any jurisdiction;
7.
Affiant, the claiming successor, is entitled to payment of delivery of the following property, to wit:
_____________________________________________________________________________________
_____________________________________________________________________________________
8.
Affiant, the claiming successor, agrees to disburse the proceeds collected under this affidavit to any person with a superior claim
under Minnesota Statutes §524.2-403 or §524.3-805.
9.
Attached hereto is the certified death certificate.
FURTHER AFFIANT SAYETH NOT.
θ
Select a method of payment:
Please send payments by direct deposit to employee’s account
θ
Please send payments by warrant (check).
:____________________ ________________________________ ____________________________
Dated
Affiant
Affiant's Social Security Number
Subscribed and sworn to before me this
__________ day of _______________________, _____________
_____________________________________________________
Notary Public, _________________________ County, Minnesota
My commission expires _________________________________
NOTICE: Name, Home Address, and Social Security number are private data that will be available only to those individuals who need
access to conduct legitimate business for Minnesota Management & Budget and to taxing authorities. You are not legally obligated to
provide it. However, we may not be able to process this transaction without it.
MMB-00375-07 (12/09)

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go