This New York Small Estate Affidavit is designed to ensure the streamlined process for the collection of personal property of a deceased resident, in cases where the estate meets the criteria set by the state laws. It adheres to the stipulations of the New York Estates, Powers & Trusts Law (EPTL) Section 13-1.1, applicable when the gross value of the estate does not exceed the sum specified by state law, currently set at $30,000.
Before proceeding, affirm that you have fully understood the state-specific requirements that govern the use of this document within the confines of New York State.
Affiant Information:
- Full Name: ___________________________
- Address: _____________________________
- City: _______________ State: NY Zip: _________
- Phone Number: ________________________
- Relation to Decedent: __________________
Decedent Information:
- Full Name: ___________________________
- Date of Death: ________________________
- Last Address: _________________________
- City: _______________ State: NY Zip: _________
- Did the Decedent leave a Will?: ( ) Yes ( ) No
Description and Value of Assets:
Please provide a detailed list of the personal property to be collected or transferred using this affidavit. Include the fair market value of each item, ensuring the total does not exceed the $30,000 threshold provided by New York state law.
- Asset Description: ________________ Value: $__________
- Asset Description: ________________ Value: $__________
- Add additional lines as necessary.
I, the undersigned, affirm under penalty of perjury that the information provided herein is accurate and truthful to the best of my knowledge. I acknowledge my intention to use this affidavit to collect personal property of the deceased in strict accordance with New York Estates, Powers & Trusts Law (EPTL) Section 13-1.1. I understand this document does not serve as a testamentary substitute nor does it permit the transfer of real estate.
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Signature of Affiant
__________________________________
Date
Notary Information:
This document was acknowledged before me on __________________ by _______________________________________ (Name of Affiant).
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Notary Public Signature
Notary Public, State of New York
Commission expires: __________________