The GAO 36A form plays a crucial role in the financial affairs of individuals who have lost a spouse in Arizona. This detailed document, provided by the Arizona Department of Administration, General Accounting Office, serves as an affidavit for the collection of any compensation due to a deceased spouse. It specifically caters to situations where the surviving spouse, or someone authorized to act on their behalf, seeks to claim wages, salary, or other forms of compensation that were owed to the deceased at the time of their passing. Importantly, this form is utilized when there is no pending application or granted petition for the appointment of a Personal Representative for the deceased's estate within the state. It caps the claimable amount at $5,000, adhering to the stipulations set out under A.R.S § 14-3971(A), illustrating the form's purpose within the broader legal and administrative landscape governing estate and compensation claims. Completing and submitting this affidavit involves carefully outlined steps, including verification under oath before a Notary Public, making it a legally binding document critical for those navigating the aftermath of a spouse's death and seeking rightful compensation.
| Question | Answer |
|---|---|
| Form Name | Form Gao 36A |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | deposes, Arizona, general 36a form, Notary |
State of Arizona
Arizona Department of Administration, General Accounting Office
Affidavit for Collection of Compensation Due Deceased Spouse
STATE OF ARIZONA |
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COUNTY OF _______________________ |
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__________________________________________, being first duly sworn, on oath deposes and says:
1.__________________________________________ died on _________________________ 20___, in the County of ___________________________, State of _________________.
2.Affiant is the surviving spouse of decedent, or is authorized to act on behalf of such spouse.
3.No application or petition for appointment of a Personal Representative is pending or has been granted in this state for the Estate of decedent.
4.Affiant is entitled to receive payment of any wages, salary or other compensation owing for personal
services owed to decedent, not to exceed five thousand dollars ($5,000.00) in amount.
This affidavit is made pursuant to A.R.S §
DATED this __________ day of __________________________________, 20_____.
__________________________________________________
Signature
__________________________________________________
Printed Name
__________________________________________________
Street Address
__________________________________________________
City, State, Postal Code
SUBSCRIBED AND SWORN TO before me this __________ day of _____________________________,
20_____, by_____________________________________.
__________________________________________________
Notary Public
My Commission Expires: ______________________________