4B 101 Form – Fill Out and Use This PDF

(Check if applicable)

[] Anyone who has equal or higher priority to serve has consented below to my appointment by signing this form.

2.The decedent died on _________________ (date), at the age of _____ At death, the decedent (choose one)

[ ] (a) lived in ______________ County, New Mexico or

[ ] (b) did not live in New Mexico, but lived in ___________________ County, State of __________________ and owned property in _______________ County, New Mexico.

3. I have carefully searched for all of the names and addresses of the decedent’s spouse, children and other heirs [including myself]. I have discovered the following information:

4.I have looked carefully and thoroughly for a will of the decedent and did not find one. I believe that the decedent died without a will;

5.A personal representative has not been appointed in New Mexico or anywhere else;

6.I do not know of any other probate action either in New Mexico or anywhere else;

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7.(Choose one)

[] I have checked with the district court about a demand for notice and found no such demand. I have not received, and do not know of, any demand from anyone for notice of any probate or related proceeding; or

[] I am aware of a demand for notice and have sent the required notice to each person who demanded notice;

8.(Choose one)

[] The decedent died more than one-hundred twenty (120) hours ago. It has not been more than three (3) years since the decedent's death.

[] The decedent died more than three (3) years ago, but informal appointment is necessary to confirm title in the successors to the estate.

WHEREFORE, I ask this court to:

A.Appoint me as the personal representative of the decedent's estate;

B.Allow me to serve without posting a bond, in an unsupervised administration;

C.Ask the court clerk to issue Letters of Administration to me; and

D.Order such other relief as this court believes to be appropriate.

________________________________

Signature of applicant

________________________________

Printed name

________________________________

Address

________________________________

City/State/Zip Code

________________________________

Telephone number

)ss.

COUNTY OF ________________)

I, _____________________, am the applicant. I state, upon oath, that the

application, and the statements in it, are true and correct as far as I know and believe.

___________________________

Signature of applicant

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

_______ by _________________________.

(If anyone has an equal or higher priority than you for appointment as personal representative, as discussed in the instructions for this form, step 1, have each sign below to show that person's consent to your serving as personal representative.)

I consent to the appointment of the personal representative listed above.

Name: ____________________________________

Signature: _________________________________

Relationship to decedent: _____________________

Street Address: _____________________________

City, state and zip code: ______________________

Name: ____________________________________

Signature: _________________________________

Relationship to decedent: _____________________

Street Address: _____________________________

City, state and zip code: ______________________

Name: ____________________________________

Signature: _________________________________

Relationship to decedent: _____________________

Street Address: _____________________________

City, state and zip code: ______________________

Name: ____________________________________

Signature: _________________________________

Relationship to decedent: _____________________

Street Address: ____________________________

City, state and zip code: ______________________

USE NOTE

1.See Section 45-3-203 NMSA 1978 for priority among persons seeking appointment as personal representative and Section 45-3-301 NMSA 1978 for informal appointment of a personal representative.

2.If the applicant is an “heir”, as defined in 4B-002 NMRA, use the bracketed language.

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