Introduction

I, [YOUR NAME], of [YOUR ADDRESS], being of lawful age and sound mind, do hereby state the following facts under oath regarding the estate of [DECEASED'S NAME], who resided in [CITY], North Dakota, at the time of their death on [DATE OF DEATH].

Statement of Facts

1. The total value of the assets of the estate of the deceased does not exceed the statutory limit for a small estate under North Dakota law.

2. I am a beneficiary entitled to inherit from the estate of the deceased under North Dakota law.

3. There is no will or other testamentary document appointing an executor or personal representative for the estate of the deceased.

4. There are no unpaid debts of the deceased, except for those listed in the attached schedule of debts.

5. The asset to be transferred is [DESCRIPTION OF ASSET], which is currently held at [LOCATION OF ASSET].

6. I am requesting the transfer of the above-described asset to me as a beneficiary of the estate of the deceased.

Sworn Oath

I swear under penalty of perjury that the foregoing statements are true and correct to the best of my knowledge, information, and belief.

[YOUR NAME]

Date: [DATE SIGNED]

Notarization

State of North Dakota

County of [COUNTY]

On this [DATE], before me, a Notary Public in and for said County and State, personally appeared [YOUR NAME], known to me to be the person whose name is subscribed to the foregoing instrument and acknowledged that he/she executed the same for the purposes therein contained.

Given under my hand and official seal this [DATE].

[NOTARY PUBLIC STAMP]

Notary Public

My Commission Expires: [EXPIRATION DATE]

Affidavit Templates @ Template.net