P-12 Affidavit of no debt  


Form P-12 (Affidavit of No Debt)
SURROGATE'S COURT OF THE STATE OF NEW YORK COUNTY OF ______________X PROBATE PROCEEDING,
Will of
 
AFFIDAVIT OF NO DEBT
(For Use with Letters of
a/k/a
 
Administration c.t.a.)
Deceased.
______________
X
 
File No. _____
STATE OF NEW YORK
 
) ) ss.:
COUNTY OF
 
)
 
, 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 made a diligent searach 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:
[If "none", write NONE]
NAME
 
ADDRESS
 
NATURE OF CLAIM
 
AMOUNT
Signature
Print Name
Sworn to before me this _____
day of _______,19__
______________ Notary Public Commission Expires: (Affix Notary Stamp or Seal)
Name of Attorney:
 
Tel. No.: _____
Address of Attorney:
 
P-12 (9/96)