North Dakota Small Estate Affidavit
Pursuant to the North Dakota Century Code, Title 30.1 (Uniform Probate Code), Article 30.1-23 (Small Estates), this affidavit is for the collection of the personal property of a decedent whose estate qualifies as a "small estate" under North Dakota law.
Instructions: Complete all sections of this affidavit. Print and sign the completed form, then submit it to the holder of the property. Ensure all information is accurate to the best of your knowledge.
Section 1: Deceased Information
- Full Name of Deceased: _____________________________________
- Date of Death: _____________________________________________
- Last known address: _________________________________________
- County of Death: ___________________________________________
Section 2: Affiant (Claimant) Information
- Full Name of Affiant: _______________________________________
- Relationship to Deceased: ___________________________________
- Address: ___________________________________________________
- Contact Number: ____________________________________________
Section 3: Qualification
I, [Name of Affiant], swear or affirm under penalty of perjury that:
- The values of the entire estate subject to administration in North Dakota, wherever located, less liens and encumbrances, do not exceed $50,000.
- Thirty days have elapsed since the death of the decedent.
- No application or petition for the appointment of a personal representative is pending or has been granted in any jurisdiction.
- Entitled to payment or delivery of the property is affirmed.
Section 4: Description of Property
Describe the personal property to be collected, transferred, or received through this affidavit.
Section 5: Declaration
I declare under penalty of perjury under the laws of the State of North Dakota that the foregoing is true and correct.
Date: ____________ Affiant's Signature: ___________________________
Notarization (if required)
State of North Dakota )
County of ___________ )
Subscribed and sworn to (or affirmed) before me on this ___ day of ____________, 20__, by _____________________, proved to me on the basis of satisfactory evidence to be the person who appeared before me.
Notary Public: ___________________________________
My commission expires: ___________________________