Stanislaus — Affidavit for collection of personal property

Source: https://www.stanislaus.courts.ca.gov/system/files/forms-and-filings/affidavit_for_collection_of_personal_property.pdf

Affidavit for Collection of Real and Personal Property Pursuant to California Probate Code §13100-13116

I, , state as follows:

1. (name of decedent), died on (date of death)
in the County of , California.

2. At least 40 days have passed since the death of the decedent, as shown by the attached
certified copy of the decedent’s death certificate.

3.  No proceeding is now being or OR  The decedent’s Personal Representative
has been conducted in California has consented in writing to the
for administration of the decedent’s payment, transfer, or delivery of the
estate. property described in this declaration.

4. The current gross value of the decedent’s real and personal property in California, excluding the
property described in Probate Code §13050, does not exceed $166,250.00.

5.  An inventory and appraisement OR  There is no real property in the estate.
of the real property included in
the decedent’s estate is attached.

6. The following property is to be paid, transferred or delivered to the undersigned according to
Probate Code § 13006 (describe the property to be transferred):

7. The successor(s) of the decedent, as defined in Probate Code § 13006 is/are:

8. I am:
 a successor(s) of the decedent OR  authorized under Probate Code §13051
to the decedent’s interest in the to act on behalf of the decedent’s
described property. successor(s) with respect to the decedent’s
interest in the described property.

9. No other person has a right to the interest of the decedent in the described property.

10. I request that the above-described property be paid, delivered or transferred to the undersigned.

Affidavit for Collection of Real and Personal Property Pursuant to California Probate Code §13100-13116 - continued

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date Sign Name Print Name (If more than one declarant is entitled to receive the described property, all need to sign this affidavit. If this is the case, additional declarants can sign below and on an additional page.)

Date Sign Name Print Name

Date Sign Name Print Name

Date Sign Name Print Name

Date Sign Name Print Name

Acknowledgement (By Notary Public)

State of California ) County of _____________________________ ) )

On _________________(date) before me, personally appeared ________________________ [1] who proved to me on the basis of satisfactory [2] evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct

WITNESS my hand and official seal.

Signature:______________________________

Print Name: _______________________________

My commission expires:

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(Seal)

Updated 01/31/2020