N.M. Prob. Ct. Forms. 4B-201

As amended through November 1, 2024
Rule 4B-201 - Affidavit of poverty and indigency

[For use with Rules 1B-303 and 1B-305 NMRA] STATE OF NEW MEXICO IN THE PROBATE COURT

_______________ COUNTY

IN THE MATTER OF THE ESTATE OF No. __________

______________________ , DECEASED.

AFFIDAVIT OF POVERTY AND INDIGENCY

I, the applicant, state that

A. I wish to start an action in the probate court of ____________ County, New Mexico;
B. The estate of the decedent does not have enough funds to pay the costs of the action because the estate only has the following assets (list assets):

________________________________________________________________

________________________________________________________________

WHEREFORE, I ask that I not have to pay the costs of this action, including the filing fee.

I affirm under penalty of perjury under the laws of the State of New Mexico that all of the above statements are true and correct.

________________________________

Signature of applicant

________________________________

Printed name

________________________________

Date

________________________________

Street address

________________________________

City, state, and ZIP code

________________________________

Telephone number (optional)

________________________________

Email address (optional)

N.M. Prob. Ct. Forms. 4B-201

Approved, effective September 15, 2000; as amended by Supreme Court Order No. 07-8300-005, effective March 1, 2007; 4B-601 recompiled and amended as 4B-201 by Supreme Court Order No. 18-8300-014, effective for all cases pending or filed on or after December 31, 2018.

ANNOTATIONS The 2018 amendment, approved by Supreme Court Order No. 18-8300-014, effective December 31, 2018, required the applicant to affirm under penalty of perjury that the applicant's statements are true and correct, removed the provision requiring the applicant to sign and date the form in the presence of a notary, and made certain technical changes; added "[For use with Rules 1B-303 and 1B-305 NMRA]"; added the affirmation provision preceding the signature line, and removed the notarization portion of the form. Recompilations. - Former Form 4B-601 NMRA, relating to affidavit of poverty and indigency, was recompiled and amended as 4B-201 NMRA, effective for all cases pending or filed on or after December 31, 2018.