Form SE1B - Amended affidavit in relation to settlement of estate
SURROGATE'S COURT OF THE STATE OF NEW YORK
COUNTY OF ________
________X AMENDED AFFIDAVIT
VOLUNTARY ADMINISTRATION, Estate of IN RELATION TO SETTLEMENT
OF ESTATE
________, UNDER ARTICLE 13, SCPA
Deceased File No. ________
________X
STATE OF NEW YORK )
) ss.:
COUNTY OF ________ )
I, ________, being duly sworn, depose and say:
(Name)
1. I am the voluntary administrator/trix of the above-named decedent and make this affidavit pursuant to Article 13 of the Surrogate's Court Procedure Act. The original and any amended affidavits were filed on the following dates: [list dates] ____________
2. I was found qualified to act as the voluntary administrator/trix of the above captioned estate by the ________ County Surrogate's Court on the ________ day of ________, 19________
3. The following items of personal property, owned by the above-named decedent, were not listed in paragraph 9 of the Affidavit of Voluntary Administration originally filed nor in any amended affidavits filed with the court.
Items of Personal Property Space for Endorsement
Separately Listed Value of Each Item By Transferors
____________
____________
____________
____________
Total $________
4. For the items of personal property listed in paragraph 3, I require ________ additional certificates of voluntary administration.
The value of all of the decendent's non-exempt assets still does not exceed $ 10,000.00.
______________
(Affiant)
Sworn to before me on
________, 19________
______________
(Print Name)
______________
Notary Public
My Commission Expires:________
NAME OF AFFIANT OR ATTORNEY
FOR AFFIANT: ____________
ADDRESS: ____________
TEL NO.: ________