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Here is the text we could read:

Affidavit for Collecting Personal Property in a Small Estate Proceeding 

eing first duly sworn, I state that: 

(1)  This affidavit is made for the purpose of collecting the personal property of  

____________________________________________________ (name), who died 
on ___________________ (date), as authorized by Utah Code Section 75-3-1201; 

(2) 

(a) 

[  ]  I am the decedent’s successor and entitled to payment or delivery of the 
property; 

(b) 

[  ]  I am the duly authorized agent of 
____________________________________________________ (name), who 
is the decedent’s successor; 

(3)  The value of the entire estate subject to administration, wherever located, less 

liens and encumbrances, does not exceed $100,000; 

(4)  30 days have elapsed since the death of the decedent; 

(5)  No application or petition for the appointment of a personal representative is 

pending or has been granted in any jurisdiction; 

(6)  The decedent’s successor is entitled to payment or delivery of any indebtedness 
owed to the decedent, any tangible personal property belonging to the decedent, 
and any instruments evidencing a debt, obligation, stock, or chose in action 
belonging to the decedent; and 

(7)  Such indebtedness, tangible personal property or instrument evidencing a debt, 

obligation, stock, or chose in action include: 

  B

 

On this date, I certify that _________________________________________________________ (name) 
who is known to me or who presented satisfactory identification, in the form of 
______________________________________________________ (form of identification), has, while in my 
presence and while under oath or affirmation, voluntarily signed this document and declared that it is true. 

Sign here ► 

 

 

Typed or Printed Name 

Typed or printed name (Notary Public) 

Sign here ► 

Notary Seal 

 

 

 

Small Estate Affidavit – Personal Property 

February 2009 
Revised May 9, 2017 

Page 1 of 1 

   

 

   

Date 

 
Date

Affidavit for collecting personal property in a small estate proceeding

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Utah state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from legacy.utcourts.gov (2023-03)
Page(s): 1
Fields(s): 45
Average fields per page: 45
Reading Level: Grade 18
LIST Grouping(s): GO-00-00-00-00.

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Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

name_died was name_who_died (0.58 conf)
made_collecting_personal was 1_this_affidavit_is_made_for_the_purpose_of_collecting_the_personal_property_of (0.46 conf)
date_authorized_utah_section was date_as_authorized_by_utah_code_section_75_3_1201 (0.37 conf)
page_field__1 was page_0_field_3 (0.31 conf)
page_field__2 was page_0_field_4 (0.31 conf)
page_field__3 was page_0_field_5 (0.31 conf)
page_field__4 was page_0_field_6 (0.31 conf)
on was on (0.33 conf)
page_field__5 was page_0_field_8 (0.31 conf)
page_field__6 was page_0_field_9 (0.31 conf)
entitled_payment_delivery was i_am_the_decedent_s_successor_and_entitled_to_payment_or_delivery_of_the (0.45 conf)
page_field__7 was page_0_field_11 (0.31 conf)
name was name_who (0.34 conf)
page_field__8 was page_0_field_13 (0.31 conf)
liens_encumbrances_exceed was liens_and_encumbrances__does_not_exceed__100_000 (0.47 conf)
duly_authorized_agent was i_am_the_duly_authorized_agent_of (0.47 conf)
page_field__9 was page_0_field_16 (0.31 conf)
decedent_successor was is_the_decedent_s_successor (0.46 conf)
page_field__10 was page_0_field_18 (0.31 conf)
property was property (0.47 conf)
page_field__11 was page_0_field_20 (0.31 conf)
obligation_chose_action was obligation__stock__or_chose_in_action_include (0.43 conf)
users1_signature was sign_here (1.00 conf)
signature_date was date (1.00 conf)
users1_name__1 was name (1.00 conf)
page_field__12 was page_0_field_25 (0.31 conf)
known_satisfactory_form was who_is_known_to_me_or_who_presented_satisfactory_identification__in_the_form_of (0.32 conf)
form_identification was form_of_identification_has__while_in_my (0.42 conf)
users1_name__2 was typed_or_printed_name (1.00 conf)
page_field__13 was page_0_field_29 (0.31 conf)
page_field__14 was page_0_field_30 (0.31 conf)
date_certify was on_this_date__i_certify_that (0.39 conf)
page_field__15 was page_0_field_32 (0.31 conf)
page_field__16 was page_0_field_33 (0.31 conf)
page_field__17 was page_0_field_34 (0.31 conf)
page_field__18 was page_0_field_35 (0.31 conf)
page_field__19 was page_0_field_36 (0.31 conf)
page_field__20 was page_0_field_37 (0.37 conf)
page_field__21 was page_0_field_38 (0.37 conf)
oath_declared_true was presence_and_while_under_oath_or_affirmation__voluntarily_signed_this_document_and_declared_that_it_is_true (0.41 conf)
page_field__22 was page_0_field_40 (0.31 conf)
notary_seal was notary_seal (0.37 conf)
page was page_1_of_1 (0.42 conf)
page_check__1 was page_0_check_0 (0.34 conf)
page_check__2 was page_0_check_1 (0.33 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Affidavit for collecting personal property in a small estate proceeding

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Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02