FORM PB-701 Affidavit for Collection of Compensation

Legal Form Number FORM PB 701
Date01 January 2014
SectionAz Probate Forms Annotated

FORM PB 701

AFFIDAVIT FOR COLLECTION OF COMPENSATION (WAGES)

DUE DECEASED SPOUSE

STATE OF ARIZONA )

) ss.

County of )

__________, being sworn states:

1. __________ (“decedent”) died on __________, in the County of __________, State of Arizona.

2. I am the surviving spouse of decedent or am authorized to act on behalf of the spouse.

3. [No application or petition for appointment of a personal representative is pending or was granted.] [The former personal representative was discharged or more than one year...

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