8. That no application or petition for the appointment of a personal representative is
pending or has been granted in any jurisdiction.
9. That I, as the claiming successor am entitled to payment or delivery of the
property.
THE FORGOING STATEMENT IS MADE UNDER PENALTIEL 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:
______________________