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In the realm of estate management, particularly when dealing with the sensitive issue of wrongful death claims, the New York WD-3 form plays a crucial role. This form serves as a formal request to the Surrogate’s Court, allowing an administrator to seek approval for compromising a wrongful death claim and to settle an account of the estate’s proceedings. It outlines essential details, including the administrator’s identity, the decedent’s information, and the circumstances surrounding the claim against an insurance company. Notably, the form requires the administrator to account for all receipts and disbursements, ensuring transparency and accountability. Accompanying documents, such as affidavits from legal counsel and proof of funeral expenses, bolster the application. Furthermore, the WD-3 form addresses the distribution of proceeds among surviving relatives, emphasizing the need for clarity regarding who stands to benefit from the settlement. By navigating these requirements, the administrator not only fulfills legal obligations but also helps facilitate a resolution that honors the decedent's memory while providing for their loved ones. Understanding the intricacies of the WD-3 form is vital for anyone involved in estate administration, particularly in the emotionally charged context of wrongful death claims.

Similar forms

  • Form WD-4 (Application for Compromise of Claim): Similar to the WD-3 form, the WD-4 is used to seek court approval for settling a claim on behalf of an estate. Both forms require detailed information about the claim and the parties involved, ensuring transparency in the administration of the estate.
  • Form WD-2 (Petition for Letters of Administration): This form is used to request the court to appoint an administrator for an estate. Like the WD-3, it involves the administration of a decedent's estate and requires the submission of relevant documentation to the court.
  • Form A (Accounting for Estate Assets): This document provides a detailed account of the assets and liabilities of an estate, similar to the WD-3's accounting section. Both forms are essential for ensuring that all financial matters are properly documented and reported to the court.
  • Form C (Claim Against the Estate): This form is utilized by creditors to assert claims against a decedent's estate. It parallels the WD-3 in that both forms deal with the financial aspects of an estate, particularly regarding claims and distributions.
  • Form D (Notice to Creditors): This document informs potential creditors of the decedent's passing and the process for submitting claims. Like the WD-3, it addresses the responsibilities of the estate administrator in managing claims against the estate.
  • Form E (Waiver of Notice): This form allows interested parties to waive their right to receive formal notice regarding proceedings. It is similar to the WD-3 in that both involve the consent of interested parties, which can streamline the administration process.

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Form WD-3 (4/98)

SURROGATE’S COURT OF THE STATE OF NEW YORK

COUNTY OF

In the Matter of the Application of

 

 

 

 

 

 

 

 

 

as Administrat

 

 

of the Goods, Chattels and

 

 

 

 

 

 

 

 

 

Credits which were of

 

 

 

 

 

 

ACCOUNT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Deceased.

 

File #

 

 

 

For leave to compromise a certain cause of action for

 

 

 

 

 

 

 

 

 

wrongful death of the decedent and to render and have

 

 

 

 

 

 

 

 

 

judicially settled an account of the proceedings as such

 

 

 

 

 

 

 

 

 

Administrat

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TO THE SURROGATE’S COURT:

 

 

 

 

 

 

 

 

 

1. I

 

 

 

 

 

 

 

 

 

do render the following account of my

 

 

 

proceedings as administrat

 

 

of the goods, chattels and credits which were of

 

 

,

 

deceased, consisting of a claim against

 

 

 

 

 

, who is insured by

 

 

 

 

 

 

 

 

 

 

Insurance Company, for wrongful death arising on or about

 

 

,

as the result of an automobile accident involving the decedent and

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.Letters of Administration of the goods, chattels and credits of the decedent were issued to me on

_______________________, said letters being limited to the prosecution only, and not for the collection of any proceeds of, any action or claim for wrongful death. Simultaneously herewith, leave is being asked to

compromise the claim for wrongful death of the decedent for the sum of $

 

.

3.There is submitted with this account my petition as administrat________; and affidavit by

,Esq., attorney for the petitioner herein; a copy of the paid funeral bill; and waivers of the necessary parties.

4.In view of the facts and circumstances, it is my opinion that a satisfactory result has been achieved through the efforts of my attorneys, and they are requesting disbursements in the sum of

$

 

 

and that they receive thereafter a fee of

 

% of the net proceeds.

5.

The funeral bill in the sum of $

 

has been paid through no-fault insurance.

6.There are no outstanding hospital bills or doctors’ bills.

7.The only property coming into my hands is by reason of the compromise of the claim against the

Insurance Company in the sum of $

 

.

 

 

8. The decedent left surviving no other next of kin except

 

,

his/her widow/widower, and

,

his/her children. All of the above persons are entitled to share in the proceeds of the compromise.

(NOTE: WHERE THERE ARE NO DISTRIBUTEES UNDER A DISABILITY, THE RENDERING OF AN ACCOUNT IS USUALLY NOT REQUIRED.)

(NOTE: REIMBURSEMENT OF FUNDS PAID FOR FUNERAL AND OTHER ADMINISTRATIVE EXPENSES, UNDER MOST CIRCUMSTANCES, ARE ALLOWABLE, AS ARE STATUTORY COMMISSIONS TO THE ADMINISTRAT(OR)(RIX). IF REIMBURSEMENT OR COMMISSIONS ARE NOT SOUGHT, THE PETITION SHOULD CONTAIN A WAIVER THEREOF).

9.There are no other claims or creditors of the estate that have been presented to or have come into my hands or knowledge except for the following:

a)The Commissioner of Social Services has submitted a claim of $

for public assistance rendered to decedent and his/her family for the years

. This claim was rejected.

b)

has submitted a claim for $

 

 

 

based on

 

 

 

 

This claim was rejected.

 

 

 

c) Decedent’s father/mother,

has sought a share of the recovery based on an alleged pecuniary loss. This claim was rejected.

10. The following are the only persons interested in this proceeding:

 

[L IST NAMES OF DISTRIBUTEES, ETC .]

 

NAME

RELATIONSHIP

DATE OF BIRTH

County Department

 

of Social Services

 

Possible Creditor

New York State Tax Commission

Possible Creditor

 

 

 

Attorneys

 

 

 

Defendant

Insurance Company

Defendant’s Insurance Company

11.I charge myself as follows with the amount to be received on compromise of the claim for wrongful death against

Insurance Company:

$

-2-

12. I credit myself as follows:

 

 

 

 

a) With the amount to be paid to

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

Esqs., attorneys, including disbursements:

 

$

b) With the amount to be paid to

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

widow/widower and distributee: (

%)

$

 

 

 

 

 

 

 

 

 

 

c) With the amount to be paid to the guardian of the person

and property of

 

 

 

 

 

 

 

,

 

 

infant, jointly with the Trust Officer of

 

 

 

 

 

Bank (

 

 

%):

 

 

 

 

 

$

d) with the amount to be paid to

 

 

,

 

 

 

 

 

 

 

 

 

 

son/daughter (

%):

 

 

 

 

$

 

 

 

 

Total:

 

 

$

Leaving no balance.

 

 

 

 

 

 

 

 

 

 

Dated:

STATE OF NEW YORK

 

COUNTY OF

SS.:

being duly sworn, deposes and says:

That I am the administrat_______ /accountant in the above estate, having been duly appointed by a

decree of this Court.

The foregoing account of proceedings contains to the best of my knowledge and belief a true and complete statement of my receipts and disbursements in the estate of

of all monies and other property belonging to the estate or fund which have come into my hands or which have been received by any person or persons by my order or authority for use since my appointment, and a full and true statement of account of the manner in which I have disposed of same and all property remaining in my hands at the present time, and a full and true account of the nature of each and every transaction may by me since my appointment.

 

I do not know of any error or omission in said account to the prejudice of any person interested in

said estate or fund.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

___________________________________

Sworn to before me this

 

 

 

 

 

day of

 

 

.

 

 

Notary Public

(Form WD-3)

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Common mistakes

Filling out the New York WD-3 form can be a daunting task, and mistakes can lead to delays or complications in the legal process. One common error is failing to provide complete names. It’s essential to include the full names of the decedent, the administrator, and all relevant parties. Omitting any names can create confusion and may result in the form being rejected.

Another frequent mistake is neglecting to specify the exact date when Letters of Administration were issued. This date is crucial for establishing the timeline of the estate proceedings. Without it, the court may question the validity of the application, leading to unnecessary setbacks.

Many people also forget to include all necessary documentation that supports the account. Items like the paid funeral bill and waivers from interested parties must accompany the form. If these documents are missing, the court may require additional information, causing delays in the process.

Inaccurate financial figures are another common pitfall. When reporting the amounts involved, it’s vital to ensure that all numbers are correct. This includes the total amount to be received from the insurance company, attorney fees, and disbursements. Errors in these figures can raise red flags and may require corrections that prolong the proceedings.

Additionally, some applicants overlook the need to identify all interested parties accurately. Listing all distributees, including their relationships to the decedent and their dates of birth, is necessary for transparency. Failing to do so can lead to disputes among family members and potential legal challenges.

Another mistake is not addressing any outstanding claims or creditors adequately. It is important to disclose any claims against the estate, even if they were rejected. This transparency helps the court understand the estate’s financial situation and ensures that all parties are informed.

Many applicants also miss the requirement to sign and date the form correctly. A missing signature or an incorrect date can render the application invalid. It’s a simple step, but one that is often overlooked, leading to unnecessary complications.

Finally, some individuals do not seek legal advice before submitting the form. While it is possible to complete the WD-3 independently, consulting with an attorney can help avoid many of these mistakes. Legal professionals can provide valuable insights and ensure that the form is filled out correctly, streamlining the process and reducing the likelihood of issues arising.

More About New York Wd 3

  1. What is the New York WD-3 form?

    The New York WD-3 form is a legal document used in Surrogate’s Court to request approval for the compromise of a wrongful death claim. This form is typically filed by an administrator of an estate to account for the proceedings related to the claim and to seek judicial settlement of the account.

  2. Who needs to file the WD-3 form?

    The WD-3 form must be filed by the administrator of the estate of a deceased individual who has been granted Letters of Administration. This administrator is responsible for managing the estate’s assets, including any claims for wrongful death.

  3. What information is required on the WD-3 form?

    The form requires detailed information about the decedent, the claim being compromised, and the administrator's actions. This includes the amount of the compromise, details of any funeral expenses, and information about the beneficiaries entitled to share in the proceeds.

  4. What documents should accompany the WD-3 form?

    Along with the WD-3 form, the administrator should submit a petition, an affidavit from the attorney representing the administrator, a copy of the paid funeral bill, and waivers from necessary parties. These documents help support the request for compromise and settlement.

  5. What happens after filing the WD-3 form?

    Once the WD-3 form is filed, the Surrogate’s Court will review the application. If the court finds the proposed compromise to be reasonable, it will approve the settlement and allow the administrator to distribute the proceeds according to the terms outlined in the form.

  6. Are there any fees associated with filing the WD-3 form?

    Yes, there may be filing fees associated with submitting the WD-3 form. Additionally, the administrator may be responsible for attorney fees and other administrative costs related to the estate. These should be clearly outlined in the account submitted with the form.

  7. Can the WD-3 form be amended after filing?

    If there are errors or changes that need to be made after filing the WD-3 form, the administrator may need to file an amended version or submit additional documentation to the court. It is important to address any discrepancies promptly to avoid complications.

  8. What if there are no surviving next of kin?

    If the decedent has no surviving next of kin, the administrator may still file the WD-3 form. However, the process for distributing any proceeds may differ, and the court will need to determine how to handle the estate in accordance with state laws regarding intestate succession.

Misconceptions

Understanding the New York WD-3 form can be challenging due to several misconceptions. Below is a list of common misunderstandings about this form, along with clarifications.

  • The WD-3 form is only for large estates. Many believe this form is only necessary for estates with significant assets. In reality, it is applicable to any estate where a wrongful death claim is involved, regardless of the estate's size.
  • Filing the WD-3 form is optional. Some individuals think they can choose whether or not to file this form. However, if you are the administrator of an estate and have settled a wrongful death claim, filing the WD-3 is often required by the court.
  • All claims must be accepted to file the WD-3 form. It is a misconception that all claims against the estate must be honored before filing. The WD-3 form allows for the rejection of certain claims, as long as this is properly documented.
  • The WD-3 form is only for personal representatives. While primarily used by administrators, this form can also be utilized by other representatives handling wrongful death claims, including executors.
  • There are no fees associated with the WD-3 form. Some believe that filing the WD-3 incurs no costs. However, there are typically court fees and potential attorney fees that need to be considered.
  • Only immediate family members can benefit from the WD-3 filing. This is not true. While immediate family often has priority, other parties may also be entitled to share in the proceeds, depending on the specific circumstances of the case.
  • The WD-3 form guarantees approval of the wrongful death settlement. Many assume that filing the WD-3 ensures the court will approve the settlement. However, the court will review the details and may require additional information or adjustments.
  • Once filed, the WD-3 form cannot be amended. This is incorrect. If errors or changes are needed, the WD-3 form can be amended, but this may require additional court approval.

Key takeaways

Filling out the New York WD-3 form is a critical step in managing the estate of a deceased individual. Here are key takeaways to consider:

  • Understand Your Role: As the administrator, you are responsible for managing the estate's assets and liabilities. This includes filing the WD-3 form accurately.
  • Gather Necessary Documents: Before filling out the form, collect all relevant documents, including Letters of Administration, funeral bills, and any claims against the estate.
  • Detail All Transactions: Provide a comprehensive account of all receipts and disbursements related to the estate. This includes payments to creditors and any fees for legal services.
  • Be Transparent About Claims: Clearly list any claims against the estate, including those that were rejected. This transparency is crucial for the court's review.
  • Identify Interested Parties: List all individuals entitled to share in the estate, including their relationships to the decedent. This ensures proper distribution of assets.
  • Seek Legal Guidance: Consulting with an attorney can help you navigate the complexities of the form and ensure compliance with legal requirements.
  • File Timely: Submit the WD-3 form promptly to avoid delays in settling the estate. Timeliness is essential in legal proceedings.

By following these guidelines, you can effectively manage the estate and fulfill your responsibilities as an administrator.

New York Wd 3: Usage Guide

Filling out the New York WD-3 form is an important step in the process of settling an estate after a wrongful death claim. The form requires specific information about the decedent, the claim, and the distribution of funds. Follow these steps carefully to ensure that the form is completed accurately.

  1. Begin by entering the name of the county at the top of the form.
  2. In the first blank, write the name of the decedent.
  3. Fill in the name of the administrator in the next blank space.
  4. Provide the account number in the designated area.
  5. In the section about the claim, specify the name of the party responsible for the wrongful death and the insurance company involved.
  6. Indicate the date of the automobile accident in the appropriate space.
  7. Enter the date when the Letters of Administration were issued.
  8. State the amount being requested to compromise the wrongful death claim.
  9. List the documents being submitted with the account, including the petition, attorney affidavit, funeral bill, and waivers.
  10. Detail the requested disbursements and attorney fees based on the net proceeds.
  11. Confirm that the funeral bill has been paid through no-fault insurance.
  12. Indicate that there are no outstanding hospital or doctor bills.
  13. Specify the amount received from the compromise of the claim against the insurance company.
  14. List the surviving next of kin and their relationships to the decedent.
  15. Provide any claims or creditors that have been presented, including amounts and reasons for rejection.
  16. List the names of all interested parties in the proceeding, including their relationships to the decedent.
  17. Charge yourself with the total amount to be received from the compromise.
  18. Credit yourself with the amounts to be paid to the attorney, widow/widower, guardian, and other distributees.
  19. Calculate the total and ensure that it leaves no balance.
  20. Sign and date the form at the bottom, and ensure a notary public witnesses your signature.