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Affidavit of Paid & Outstanding Funeral Expenses and Debts ...
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700-00402 –Affidavit of Paid & Outstanding Funeral Expenses & Debts – Small Estates (12/2020) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re: AFFIDAVIT OF PAID AND OUTSTANDING FUNERAL EXPENSES AND DEBTS FOR A SMALL ESTATE The undersigned Fiduciary, being duly sworn, states as follows: 1. The following is a list of paid funeral expenses and debts: __________________________________________ __________________________________________ __________________________________________ 2. The following is a list of known and reasonably ascertainable debts of the Decedent: __________________________________________ __________________________________________ __________________________________________ _______________________________ ______________________________________________ Date Signature of Fiduciary ______________________________________________ Printed Name Signed and sworn to before me: Date Signature of Notary Public Expiration Date
Transcript of Affidavit of Paid & Outstanding Funeral Expenses and Debts ...
700-00402 –Affidavit of Paid & Outstanding Funeral Expenses & Debts – Small Estates (12/2020) Page 1 of 1
STATE OF VERMONT
SUPERIOR COURT PROBATE DIVISION
Unit Docket No.:
In re:
AFFIDAVIT OF PAID
AND OUTSTANDING FUNERAL EXPENSES AND DEBTS
FOR A SMALL ESTATE The undersigned Fiduciary, being duly sworn, states as follows: 1. The following is a list of paid funeral expenses and debts: __________________________________________ __________________________________________ __________________________________________ 2. The following is a list of known and reasonably ascertainable debts of the Decedent: __________________________________________ __________________________________________ __________________________________________
_______________________________ ______________________________________________ Date Signature of Fiduciary
______________________________________________ Printed Name
Signed and sworn to before me:
Date Signature of Notary Public Expiration Date
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