I, [YOUR NAME], being duly sworn, depose and state as follows:

1. I am over the age of 18, of sound mind, and competent to make this affidavit.

2. I am the [RELATIONSHIP TO THE DECEDENT] of [DECEDENT'S NAME].

3. The above-named deceased passed away on [DECEDENT'S DEATH DATE].

4. To the best of my knowledge, information, and belief, at the time of their death, the total value of the deceased's estate, including all personal property, tangible and intangible, does not exceed the statutory limit for a small estate in the State of Massachusetts, as set forth in Massachusetts General Laws.

5. Attached hereto is a listing all of the personal property belonging to the deceased, including but not limited to household items, vehicles, and personal belongings. The estimated value of each item is provided.

6. I hereby declare that the distribution of the personal property listed in the attached document is in accordance with the desires of the deceased, as expressed in any valid will or other testamentary document, or in the absence thereof, in accordance with the laws of intestate succession of the State of Massachusetts.

7. I understand that by signing this affidavit, I am making a solemn declaration under penalty of perjury that the statements contained herein are true and correct to the best of my knowledge, information, and belief.

[YOUR NAME]

Sworn to and subscribed before me this [DATE].

[COURT OFFICIAL'S NAME]

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