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Outline

The New York WD-3 form plays a crucial role in the administration of estates, particularly in cases involving wrongful death claims. This form is primarily used by an administrator to seek court approval for settling a wrongful death action and to provide a comprehensive account of the estate's financial activities. It includes detailed information about the decedent, such as their assets and liabilities, and outlines the claims made against the estate, particularly those related to wrongful death. The form requires the administrator to present a clear account of receipts and disbursements, including any funeral expenses that have been paid. Additionally, it addresses the distribution of any proceeds from the settlement, ensuring that all interested parties, such as heirs and creditors, are identified and accounted for. The WD-3 form not only facilitates the legal process but also ensures transparency and accountability in the handling of the decedent's estate. By submitting this form, the administrator seeks the court's approval to finalize the settlement, thereby bringing closure to the estate's affairs while adhering to legal requirements.

Sample - New York Wd 3 Form

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)

-3-

Form Information

Fact Name Details
Form Title WD-3: Application for Compromise of Wrongful Death Claim
Governing Law Surrogate's Court Procedure Act of New York
Purpose To seek court approval for settling a wrongful death claim and to account for the estate's proceedings.
Required Attachments Includes a petition, attorney affidavit, paid funeral bill, and waivers from necessary parties.
Funeral Expenses Funeral costs are reimbursable through no-fault insurance.
Distribution of Proceeds Proceeds from the settlement are to be shared among the decedent's surviving family members.
Outstanding Claims Any claims against the estate must be disclosed, including rejections of public assistance claims.

Detailed Guide for Filling Out New York Wd 3

Filling out the New York WD-3 form requires careful attention to detail. This form is essential for administrators managing the estate of a deceased person, especially when it comes to settling claims related to wrongful death. After completing the form, it will need to be submitted to the Surrogate’s Court for approval. Here are the steps to fill out the WD-3 form:

  1. Begin by entering the name of the county where the Surrogate’s Court is located.
  2. Fill in your name as the administrator of the estate, along with the name of the deceased.
  3. Indicate the file number assigned to the case.
  4. Provide details about the claim against the insurance company, including the date of the wrongful death incident.
  5. State the date on which the Letters of Administration were issued to you.
  6. Specify the amount you are seeking to compromise the claim for wrongful death.
  7. List the documents submitted with the account, such as your petition, attorney affidavit, funeral bill, and waivers.
  8. Detail the disbursements requested by your attorneys and the percentage of the net proceeds they will receive.
  9. Confirm that the funeral bill has been paid and indicate the amount.
  10. State that there are no outstanding hospital or doctor bills.
  11. Indicate the amount being received from the compromise of the claim against the insurance company.
  12. List the next of kin of the deceased and their relationships to the decedent.
  13. Outline any claims or creditors that have been presented, including any rejections of claims.
  14. List the names and relationships of all persons interested in the proceeding.
  15. Charge yourself with the total amount to be received from the compromise.
  16. Credit yourself with the amounts to be paid to attorneys, distributees, and guardians, including percentages where applicable.
  17. Ensure that the total credits equal the total charges, leaving no balance.
  18. Date the form and prepare for notarization by signing where indicated.
  19. Have the form sworn before a notary public, ensuring all details are accurate and complete.

Obtain Answers on New York Wd 3

  1. What is the purpose of the New York WD 3 form?

    The New York WD 3 form is used to seek court approval for the compromise of a wrongful death claim. It allows the administrator of an estate to account for the proceedings and request judicial settlement of the estate's financial matters related to the wrongful death of the decedent.

  2. Who needs to file the WD 3 form?

    The administrator of the estate, also known as the administrat, is responsible for filing the WD 3 form. This individual is appointed by the court to manage the estate's assets and liabilities following the decedent's death.

  3. What information must be included in the form?

    The form requires detailed information, including:

    • The name of the decedent and the administrator.
    • A description of the wrongful death claim.
    • The amount being sought in the compromise.
    • Details of any funeral expenses and other administrative costs.
    • Names and relationships of surviving family members.
  4. How does one determine the amount to compromise?

    The amount to compromise is typically based on the assessment of the wrongful death claim's value, potential legal expenses, and the advice of legal counsel. The administrator should ensure that the proposed amount is fair and in the best interest of the estate and its beneficiaries.

  5. Are there any claims against the estate that need to be reported?

    Yes, the administrator must disclose any known claims against the estate, including those from creditors or government agencies. This ensures transparency and allows the court to consider all relevant financial obligations before approving the compromise.

  6. What happens if there are no surviving next of kin?

    If there are no surviving next of kin, the administrator may not need to render an account, as long as there are no distributees under a disability. However, it is advisable to consult with legal counsel to ensure compliance with all legal requirements.

  7. What documentation must accompany the WD 3 form?

    Along with the WD 3 form, the administrator should submit:

    • A petition for compromise.
    • An affidavit from the attorney representing the administrator.
    • A copy of the paid funeral bill.
    • Waivers from necessary parties.
  8. How are attorney fees handled in the WD 3 form?

    The form allows for the request of attorney fees to be paid from the settlement proceeds. The attorney's fees should be clearly stated, along with any disbursements incurred during the process.

  9. What is the role of the Surrogate’s Court in this process?

    The Surrogate’s Court reviews the WD 3 form and the accompanying documentation. The court's role is to ensure that the compromise is fair and that the administrator has fulfilled their fiduciary duties to the estate and its beneficiaries.

  10. How can one ensure compliance with the WD 3 form requirements?

    To ensure compliance, the administrator should carefully review the form and instructions, consult with an attorney experienced in estate law, and provide all required documentation. This will help avoid delays or complications in the approval process.

Common mistakes

Filling out the New York WD-3 form can be a complex task, and many people make common mistakes that can lead to delays or complications in the legal process. One frequent error is failing to provide complete information about the decedent. The form requires specific details such as the decedent's name, date of death, and the nature of the claim. Omitting any of these details can result in the form being returned for correction.

Another mistake involves inaccuracies in the financial information provided. It is crucial to ensure that all amounts, including claims, disbursements, and fees, are clearly stated and correctly calculated. Errors in these figures can lead to misunderstandings and may require additional hearings to resolve discrepancies.

People often neglect to include necessary supporting documents. The WD-3 form requires attachments such as the paid funeral bill, waivers from interested parties, and affidavits from attorneys. Without these documents, the application may be deemed incomplete, causing delays in the approval process.

Additionally, individuals sometimes fail to sign the form correctly. The signature of the administrator is essential, and any mistakes in this area can invalidate the submission. It is important to double-check that the signature matches the name listed on the form.

Misunderstanding the requirements for distributions is another common issue. The form includes sections for detailing how the proceeds will be divided among beneficiaries. Failing to accurately represent these distributions can lead to disputes among heirs and may complicate the approval process.

People also often overlook the importance of providing a clear narrative regarding the circumstances of the wrongful death claim. The form asks for a brief description of the events leading to the claim. A vague or incomplete explanation can hinder the court's understanding of the case.

Another mistake is related to the timeline of events. It is crucial to provide accurate dates for when Letters of Administration were issued and when various claims were made. Discrepancies in dates can raise questions about the validity of the claims.

Some individuals may not fully understand the implications of waiving certain rights or claims. The form allows for waivers of reimbursement for funeral expenses or administrative fees. Failing to comprehend these waivers can lead to unintended consequences for the administrator and the estate.

Finally, people sometimes neglect to consult with an attorney before submitting the form. Legal guidance can provide clarity on complex issues and help ensure that the form is filled out correctly. Without this support, individuals may inadvertently make mistakes that could have been avoided.

Documents used along the form

The New York WD-3 form is essential for administrators seeking to compromise a wrongful death claim and settle an estate account. Alongside this form, several other documents are often required to ensure compliance with legal procedures and to facilitate the settlement process. Below is a list of related forms and documents that may be necessary.

  • Letters of Administration: This document grants the administrator legal authority to manage the deceased's estate. It outlines the scope of their powers, including the ability to settle claims.
  • Petition for Compromise: A formal request submitted to the court seeking approval for the compromise of a wrongful death claim. This document details the terms of the settlement and the reasons for the request.
  • Affidavit of Attorney: A sworn statement from the attorney representing the administrator. This affidavit typically confirms the attorney's involvement and outlines their fees and disbursements.
  • Funeral Bill: A document that itemizes the costs associated with the deceased's funeral. This bill is often required to demonstrate that funeral expenses have been paid.
  • Waivers of Notice: These documents are signed by interested parties, indicating that they waive their right to receive notice of certain proceedings. This can expedite the process and reduce potential disputes.
  • Account of Proceedings: A detailed account provided by the administrator that outlines all financial transactions related to the estate. This includes receipts and disbursements.
  • Claims by Creditors: Documentation from creditors asserting their claims against the estate. This may include amounts owed for services rendered or debts incurred by the deceased.
  • Tax Clearance Certificate: A document from the state tax authority confirming that all taxes owed by the deceased have been paid. This is often required before distributing assets.
  • Distribution Plan: A plan outlining how the proceeds from the compromise will be distributed among beneficiaries. This ensures transparency and fairness in the distribution process.
  • Notice of Settlement: A formal notice sent to interested parties informing them of the proposed settlement and their rights regarding it. This document helps keep all stakeholders informed.

Each of these documents plays a crucial role in the administration of an estate and the settlement of wrongful death claims. Properly preparing and submitting these forms can facilitate a smoother process and help ensure that all legal requirements are met.

Similar forms

The New York WD-3 form is similar to several other legal documents that serve specific purposes in estate management and claims settlement. Here are six documents that share similarities with the WD-3 form:

  • Form WD-4: This form is used for the accounting of the estate's assets and liabilities. Like the WD-3, it outlines the financial transactions made by the administrator but focuses more on the overall financial health of the estate.
  • Form WD-2: This form is a petition for letters of administration. It is similar to the WD-3 in that it initiates the process of settling an estate but does not include the detailed accounting of transactions.
  • Form 706: The federal estate tax return documents the value of an estate for tax purposes. While the WD-3 deals with wrongful death claims, both forms require detailed financial disclosures and valuations.
  • Form 1310: This form is used to claim a refund on behalf of a deceased person. It shares the WD-3's focus on financial matters related to a decedent but is specifically for tax refunds rather than claims settlements.
  • Form 299: This is a notice of claim against an estate. Similar to the WD-3, it addresses claims made by creditors or other parties against the estate, ensuring that all claims are properly documented and settled.
  • Form 19: This form is used to report the distribution of an estate. Like the WD-3, it involves detailing how the assets are divided among beneficiaries, although it focuses on the final distribution rather than the compromise of claims.

Dos and Don'ts

When filling out the New York WD-3 form, it is essential to approach the task with care and attention to detail. Here are some important dos and don'ts to consider:

  • Do ensure that all personal information is accurate, including names, dates, and relationships to the decedent.
  • Do include all relevant documentation, such as the paid funeral bill and waivers from necessary parties.
  • Do clearly state the amounts involved in the compromise and any disbursements requested.
  • Do provide a detailed account of any claims against the estate and their status.
  • Don't leave any sections blank; if a question does not apply, indicate that clearly.
  • Don't forget to sign and date the form before submission.
  • Don't submit the form without reviewing it for errors or omissions.
  • Don't assume that the court will accept incomplete information; thoroughness is key.

By following these guidelines, you can help ensure that your application is processed smoothly and efficiently.

Misconceptions

Misconceptions about the New York WD-3 form can lead to confusion for those involved in the administration of estates. Here are ten common misunderstandings:

  • The WD-3 form is only for large estates. Many believe this form is only necessary for estates with significant assets. In reality, it applies to any estate where a wrongful death claim is involved, regardless of size.
  • Only lawyers can fill out the WD-3 form. While legal assistance is often beneficial, the form can be completed by the administrator of the estate. However, legal guidance is recommended to ensure accuracy.
  • The WD-3 form is the same as a will. This is incorrect. The WD-3 form specifically addresses wrongful death claims and the administration of those claims, while a will outlines the distribution of an estate after death.
  • Filing the WD-3 form guarantees approval of the claim. Submission of the form does not ensure that the court will approve the compromise. The court will evaluate the circumstances before making a decision.
  • All debts must be paid before filing the WD-3 form. While settling debts is important, the WD-3 form can be filed even if there are outstanding claims, as long as they are disclosed.
  • The WD-3 form is only for wrongful death cases involving cars. This misconception limits its application. The form can be used for any wrongful death claim, not just those arising from automobile accidents.
  • Once the WD-3 form is submitted, the administrator has no further responsibilities. Administrators must still manage the estate and comply with any court orders following the submission.
  • The WD-3 form is a one-time filing. In some cases, multiple filings may be required, especially if additional claims or changes arise during the administration process.
  • There is no need for supporting documents with the WD-3 form. Supporting documents, such as affidavits and waivers, are essential to substantiate the claims and ensure a smooth process.
  • Anyone can act as an administrator for the WD-3 form. Only individuals who have been appointed by the court can act as administrators. This appointment is a legal requirement.

Key takeaways

When filling out and using the New York WD-3 form, several important aspects should be kept in mind to ensure accuracy and compliance with the requirements of the Surrogate’s Court. Here are key takeaways to consider:

  • Understand the Purpose: The WD-3 form is used to request court approval for settling a wrongful death claim and to provide a detailed account of the estate's financial activities.
  • Complete All Required Sections: Ensure that every section of the form is filled out completely. Missing information can delay the process.
  • Include Supporting Documents: Attach necessary documents such as the petition, attorney affidavits, funeral bills, and waivers from interested parties.
  • Account for All Funds: Clearly list all receipts and disbursements related to the estate. This includes amounts received from the insurance company and any payments made for funeral expenses.
  • Detail the Distribution: Specify how the proceeds from the wrongful death claim will be distributed among the heirs, including percentages and amounts for each party.
  • Address Claims and Creditors: Disclose any claims made against the estate and the status of these claims, including any that were rejected.
  • Swear to the Truthfulness: The form must be signed under oath, affirming that the information provided is accurate and complete to the best of your knowledge.
  • Consult with an Attorney: If you have questions or uncertainties while completing the form, it is advisable to seek guidance from an attorney experienced in estate matters.
  • File Timely: Submit the completed form and all accompanying documents to the Surrogate’s Court within the required time frame to avoid potential complications.

By keeping these takeaways in mind, individuals can navigate the process of using the New York WD-3 form more effectively, ensuring compliance with legal requirements and promoting a smoother resolution of estate matters.