Affidavit of Small Estate

Step 1 of 15

- User Email*
- What is the state and county where the Affidavit is being filed?
- State Name:
- County Name:
- Provide the Affiant's personal title, name, and address
- Affiant Personal Title:
- Affiant Name:
- Affiant Address:
  
  Street Address
  
  City
  
  State
  
  ZIP Code
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- Please provide the following information for the Decedent.
- Decedent Personal Title:
- Decedent Full Legal Name:
- Decedent Place of Death:
- Decedent Date of Death:
  
  MM slash DD slash YYYY
- Decedent Address:
  
  Street Address
  
  City
  
  State / Province / Region
  
  ZIP / Postal Code
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- What is the District Number or Court Name having jurisdiction over this matter?
- District or Court Name:
- What number of days must pass since the Decedent's death according to your state before an affidavit may be filed?
- Required Waiting Period Days:
- Specify the Affiant's relationship to the Decedent
- Relationship Details:
- Provide the total estimated value of the Decedent's estate
- Estate Value:
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- Please list all of the property in the Decedent's estate. Would you like to add the Decedent's first property?
- Add first property?:
  - yes
  - no
- What is the Decedent's first property or item?:
- What is the the value of the property or item?:
- Where is the property located?:
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- Would you like to add a second property or item of the Decedent?
- Claim Second Property or Item of the Decedent?:
  - yes
  - no
- What is the Decedent's second property or item?:
- What is the the value of the property or item?:
- Where is the property located?:
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- Would you like to add a third property or item of the Decedent?
- Claim Third Property or Item:
  - yes
  - no
- Third Property or Item:
- Third Value:
- Third Location:
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- Would you like to add a fourth property or item of the Decedent?
- Claim Fourth Property or Item:
  - yes
  - no
- Fourth Property or Item:
- Fourth Value:
- Fourth Location:
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- Does the Decedent have any upaid liabilities?
- Unpaid Liabilities:
  - Yes
  - No
- What is the Decedent's first liability and the amount owed?
- What is the Decedent's liability?:
- What is the amount owed?:
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- Does the Decedent have a second unpaid liability?
- Add second liability?:
  - Yes
  - No
- What is the Decedent's liability?:
- What is the amount owed?:
- PDF Preview

- Does the Decedent have a third unpaid liability?
- Add third liability?:
  - Yes
  - No
- What is the Decedent's liability?:
- What is the amount owed?:
- PDF Preview

- Does the Decedent have a fourth unpaid liability?
- Add fourth liability?:
  - Yes
  - No
- What is the Decedent's liability?:
- What is the amount owed?:
- PDF Preview

- Would you like to enter the personal information of the two required witnesses now or at a later time?
- Add now or later?:
- PDF Preview

- Who will serve as the first witness?
- First Witness Name:
- Address
  
  Street Address
  
  City
  
  State / Province / Region
  
  ZIP / Postal Code
- First Witness Telephone Number:
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- Who will serve as the second witness?
- Second Witness Name:
- Address
  
  Street Address
  
  City
  
  State / Province / Region
  
  ZIP / Postal Code
- Second Witness Telephone Number:
- PDF Preview

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Small Estate Affidavit

__________________________________

STATE OF ${input_18_2_4}
COUNTY OF ${input_18_3}

By signing this Affidavit, I, ${input_18_6} ${input_18_7} , residing at ${input_18_8_1} , ${input_18_8_3} , ${input_18_8_4} , ${input_18_8_5} swear or affirm under penalty of perjury that the following statements and contents are true and correct.

Decedent Information:

Decedent Name:	${input_18_12}
Date of Death:	${input_18_14}
Place of Death:	${input_18_13}

An original copy of the Decedent’s death certificate is herein attached.

At the time of death, the Decedent resided at ${input_18_15_1} , ${input_18_15_3} ${input_18_15_4} , ${input_18_15_5}

The ${input_18_18} shall have jurisdiction in this matter, as the Decedent resided within this jurisdiction prior to death.

Waiting Period to File

More than ${input_18_21} days have passed since the Decedent’s date of death.

Relationship

My relationship to the Decedent is: ${field_18_24}

Estimated value of Estate

The total estimated value of all the Decedent’s personal property in the Decedent’s estate, wherever it shall be located, minus any liens or encumbrances on the property, is not greater than ${input_18_27}

Personal Representative

To the best of my knowledge, no one has filed an Application or Petition for appointment of a Personal Representative and no Application or Petition has been granted in any state.

Entitlement

I, ${input_18_7} , am claiming successor to the estate of the Decedent and that I am entitled to payment or delivery of the items listed below, as I am ________________ to the Decedent.

In the event that the Decedent passed leaving a Last Will and Testament, a copy of said Last Will and Testament shall be attached. If there is no Last Will and Testament attached hereto, then the Decedent passed intestate.

Those having equal or greater right than I have to the property did assign their entire interests in the estate to me, which shall be proven by the copy of the documents they signed to this effect herein attached to this Affidavit.

Description of Property

The Decedent owned the following real estate and/or personal property:

Property Description	Value	Property Location
${input_18_31}	${input_18_32}	${input_18_33}
Estate Total Value	$0.00

This Affidavit is being made for the purpose of making a claim to the estate of ${input_18_11} ${input_18_12} , the Decedent.

Oath or Affirmation

I, ${input_18_7}, declare under penalty of perjury, that the information contained herein is true and correct to the best of my knowledge. I have provided required written notice delivered by personal service and/or certified mail, detailing my claim and thus describing the property being claimed, to every individual with successor rights to the Decedent’s property that is equal to or superior to mine, and at least ten (10) days have elapsed since said notice was served and/or mailed.


(AFFIANT SIGNATURE)		(DATE SIGNED)
${input_18_6}${input_18_7}
(Affiant Name)

Witnesses

SUBSCRIBED AND SWORN TO BEFORE ME by

State of ${input_18_2_4}

County of ${input_18_3}

Sworn to and Affirmed before me on this date of _______________________


(Signature of Notary Public)		(Date Signed)

My Commission expires:
_______________________________

No._______________________________

ESTATE OF		IN THE PROBATE COURT
${input_18_12}		NUMBER__________
DECEASED		${input_18_2_4} COUNTY, ${input_18_3}

ORDER AND APPROVAL FOR JUDGE ON SMALL ESTATE AFFIDAVIT

The foregoing affidavit of the ${field_18_24} of the Estate of ${input_18_12} , deceased, is found to conform to applicable state statute and has been examined and is approved by the Court on ().


	Judge Presiding

Document Tips

Please note that in order to file this document, you must also complete the following:

Please remember that this affidavit must be notarized.
Prior to the filing of this affidavit, notices must be sent to heirs, successors or assigns of the Decedent notifying them of your intents.
Please verify that no other Personal Representative claim has been filed or decreed for the Decedent’s estate.
Please confirm that the value of the estate you are claiming does not exceed the maximum total value of estate allowable on this affidavit pursuant to state law.
Please ensure that this affidavit is not filed prior to the mandatory waiting period after the Decedent’s death determined by your state.
Payment of the Decedent’s liabilities must be made prior to disbursing of any proceeds from the Decedent’s Estate.

Affidavit of Small Estate

Step 1 of 15

What is the state and county where the Affidavit is being filed?

Provide the Affiant's personal title, name, and address

Please provide the following information for the Decedent.

What is the District Number or Court Name having jurisdiction over this matter?

What number of days must pass since the Decedent's death according to your state before an affidavit may be filed?

Specify the Affiant's relationship to the Decedent

Provide the total estimated value of the Decedent's estate

Please list all of the property in the Decedent's estate. Would you like to add the Decedent's first property?

Would you like to add a second property or item of the Decedent?

Would you like to add a third property or item of the Decedent?

Would you like to add a fourth property or item of the Decedent?

Does the Decedent have any upaid liabilities?

What is the Decedent's first liability and the amount owed?

Does the Decedent have a second unpaid liability?

Does the Decedent have a third unpaid liability?

Does the Decedent have a fourth unpaid liability?

Would you like to enter the personal information of the two required witnesses now or at a later time?

Who will serve as the first witness?

Who will serve as the second witness?