-1-
AFFIDAVIT OF NO DEBT
(For use with Letters of Administration c.t.a.)
,
being duly sworn, deposes and says that he/she resides at
County of , State of ; that he/she is the person seeking
appointment as administrator c.t.a. in the above entitled proceeding; that the value of all personal property
receivable by the fiduciary of the estate of the above-named decedent plus estimated gross rents receivable
by said fiduciary for 18 months will not exceed the sum of $ ; that deponent has
None
Name
SURROGATE’S COURT OF THE STATE OF NEW YORK
COUNTY OF
File No.
STATE OF
COUNTY OF
ss.:
Address
Nature of Claim
Amount
Form P-12
Affidavit of No Debt
New York State Surrogate’s Court
New York State Bar Association Official OCA Forms
Address
Address
Address
Address
Address
Name
Name
Name
Name
Name
Nature of Claim
Nature of Claim
Nature of Claim
Nature of Claim
Nature of Claim
Amount
Amount
Amount
Amount
Amount
PROBATE PROCEEDING, WILL OF
Deceased.
a/k/a
made a diligent search to ascertain whether or not there are any debts or claims against the estate of said
decedent and that there are no claims, including unpaid funeral and medical bills, except as follows:
© 2017 Matthew Bender & Co., a member of the LexisNexis Group.
NYSBA's Surrogate's Court Form P-12 (2/06)
SAMPLE
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