Form MMB-00375-07 "Affidavit for Collection of Personal Property for Small Estates" - Minnesota

What Is Form MMB-00375-07?

This is a legal form that was released by the Minnesota Management and Budget - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2017;
  • The latest edition provided by the Minnesota Management and Budget;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form MMB-00375-07 by clicking the link below or browse more documents and templates provided by the Minnesota Management and Budget.

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Download Form MMB-00375-07 "Affidavit for Collection of Personal Property for Small Estates" - Minnesota

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AFFIDAVIT FOR COLLECTION OF PERSONAL PROPERTY FOR SMALL ESTATES
PURSUANT TO MINNESOTA STATUTES §524.3-1201
________________________________________________________
STATE OF MINNESOTA, COUNTY OF
_______________________________________________
Affiant,
, being first duly sworn, deposes and states:
1.
______________________________________________________________________;
Affiant resides at
______________________________________
______
________________, _____
2.
died at the age of
on
;
________________________________________________________,
and at the time of death, resided at
___________________________
________________
___________________
City of
, County of
, State of
,
__________________________
______________________
having a Social Security Number
and Employee ID
.
_______________________________
3.
Affiant, as the
, is the successor of the above identified decedent
_________________________
and is entitled to
percent of any property owed the decedent;
7
4.
The value of the entire probate estate, wherever located, less liens and encumbrances, does not exceed $
5,000.00;
5.
Thirty (30) days have elapsed since the death of the decedent;
6.
No application or petition for the appointment of a personal representative is pending or has been granted in any jurisdiction;
7.
Affiant, the claiming successor, is entitled to payment of delivery of the following property, to wit:
_____________________________________________________________________________________
_____________________________________________________________________________________
8.
Affiant, the claiming successor, agrees to disburse the proceeds collected under this affidavit to any person with a superior claim under
Minnesota Statutes §524.2-403 or §524.3-805.
9.
Attached hereto is the certified death certificate.
FURTHER AFFIANT SAYETH NOT.
θ
Select a method of payment:
Please send payments by direct deposit to employee’s account
θ
Please send payments by warrant (check).
:____________________ ________________________________ ____________________________
Dated
Affiant
Affiant's Social Security Number
Subscribed and sworn to before me this
__________ day of _______________________, _____________
_____________________________________________________
Notary Public, _________________________ County, Minnesota
My commission expires _________________________________
NOTICE: Name, Home Address, and Social Security number are private data that will be available only to those individuals who need access to
conduct legitimate business for Minnesota Management & Budget and to taxing authorities. You are not legally obligated to provide it. However,
we may not be able to process this transaction without it.
MMB-00375-07 (07/17)
AFFIDAVIT FOR COLLECTION OF PERSONAL PROPERTY FOR SMALL ESTATES
PURSUANT TO MINNESOTA STATUTES §524.3-1201
________________________________________________________
STATE OF MINNESOTA, COUNTY OF
_______________________________________________
Affiant,
, being first duly sworn, deposes and states:
1.
______________________________________________________________________;
Affiant resides at
______________________________________
______
________________, _____
2.
died at the age of
on
;
________________________________________________________,
and at the time of death, resided at
___________________________
________________
___________________
City of
, County of
, State of
,
__________________________
______________________
having a Social Security Number
and Employee ID
.
_______________________________
3.
Affiant, as the
, is the successor of the above identified decedent
_________________________
and is entitled to
percent of any property owed the decedent;
7
4.
The value of the entire probate estate, wherever located, less liens and encumbrances, does not exceed $
5,000.00;
5.
Thirty (30) days have elapsed since the death of the decedent;
6.
No application or petition for the appointment of a personal representative is pending or has been granted in any jurisdiction;
7.
Affiant, the claiming successor, is entitled to payment of delivery of the following property, to wit:
_____________________________________________________________________________________
_____________________________________________________________________________________
8.
Affiant, the claiming successor, agrees to disburse the proceeds collected under this affidavit to any person with a superior claim under
Minnesota Statutes §524.2-403 or §524.3-805.
9.
Attached hereto is the certified death certificate.
FURTHER AFFIANT SAYETH NOT.
θ
Select a method of payment:
Please send payments by direct deposit to employee’s account
θ
Please send payments by warrant (check).
:____________________ ________________________________ ____________________________
Dated
Affiant
Affiant's Social Security Number
Subscribed and sworn to before me this
__________ day of _______________________, _____________
_____________________________________________________
Notary Public, _________________________ County, Minnesota
My commission expires _________________________________
NOTICE: Name, Home Address, and Social Security number are private data that will be available only to those individuals who need access to
conduct legitimate business for Minnesota Management & Budget and to taxing authorities. You are not legally obligated to provide it. However,
we may not be able to process this transaction without it.
MMB-00375-07 (07/17)