New Mexico Forms Library

4B-201. Affidavit of poverty and indigency.

[For use with Rules 1B-303 and 1B-305 NMRA]

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 that

A.        I wish to start an action in the probate court of ____________ County, New Mexico;

B.        The estate of the decedent 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.

I affirm under penalty of perjury under the laws of the State of New Mexico that all of the above statements are true and correct.

________________________________

Signature of applicant

________________________________

Printed name

________________________________

Date

________________________________

Street address

________________________________

City, state, and ZIP code

________________________________

Telephone number (optional)

________________________________

Email address (optional)

[Approved, effective September 15, 2000; as amended by Supreme Court Order No. 07-8300-005, effective March 1, 2007; 4B-601 recompiled and amended as 4B-201 by Supreme Court Order No. 18-8300-014, effective for all cases pending or filed on or after December 31, 2018.]