4B-601 Affidavit of poverty and indigency.

• Legal Form Number: 4B-601
• Date: 01 January 2013
• Section: New Mexico Probate Court Forms (2013 Edition)

STATE OF NEW MEXICO
IN THE PROBATE COURT
_______________ COUNTY

IN THE MATTER OF THE ESTATE OF No.
______________________, DECEASED.

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 action because the estate only has the following assets (list assets):

WHEREFORE, I ask that I not have to pay the costs of this action, including the filing fee.

Signature of applicant

Printed name

Street address

City, state and zip code

Telephone number

STATE OF NEW MEXICO	)
	) 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.

Signature of applicant

SIGNED AND SWORN TO before me this ____ day of ________________, ____ by __________________.

	Notary Public
(Seal)	My commission expires:

[Approved, effective September 15, 2000; as amended by Supreme Court Order 07-8300-05, effective March 1, 2007.]