New York Codes, Rules and Regulations
Title 22 - JUDICIARY
Subtitle D - Forms
Chapter VII - Surrogate's Court Forms
Subchapter A - Forms Authorized By Section 207.52
Surrogate's Forms
Form 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)
