New Mexico > Statewide > Probate Court
Affidavit Of Poverty And Indigency 4B-601 - New Mexico
| Affidavit Of Poverty And Indigency Form. This is a New Mexico form and can be used in Probate Court Statewide . |
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PROBATE COURT FORMS Supreme Court Approved4B-601 June 22, 2000 4B-601 STATE OF NEW MEXIC O IN THE PROBATE COURT _______________ COUNTY IN THE MATTER O F THE ESTATE OF No. _______________________________, DECEAS ED. AFFIDAVIT OF POVERTY AND INDIGENCY I, the applicant, state upon my oath that: A. I wish to start an action in the Probate Court of ____________ County,New Mexico; B. I do not have the money to pay the costs of the action; C. The estate does not have enough funds to pay the costs of the actionbecause the estate only has the following assets (list assets): _______________________________________________________ _______________________________________________________ WHEREFO RE, I ask that I not have to pay the costs of this action, includingthe filing fee. ________________________________ Signature of applicant ________________________________ Printed name ________________________________ Address ________________________________ Telephone number STATE OF NEW MEXIC O ) )ss. COUNTY OF _________________ ) I, _________________, am the applicant. I state, upon oath, that the affidavit,and the statements in it, are true and correct as far as I know and believe. __________________________________ Name of applicant SIGNE D AND SWORN TO before me this ____ day of ________________, ____ by __________________. <<<<<<<<<********>>>>>>>>>>>>> 2PROBATE COURT FORMS Supreme Court Approved4B-601 June 22, 2000 ___________________________ Notary Public(Seal) My commission expires: ____________[Approved, effective September 15, 2000.] 2
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