Introduction

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

Statements

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

2. [DECEDENT'S NAME], whose date of birth was [DECEDENT'S BIRTH DATE], and whose address at the time of death was [DECEDENT'S ADDRESS], passed away on [DECEDENT'S DEATH DATE].

3. To the best of my knowledge and belief, at the time of their death, the total value of the personal property owned by the deceased, located in [COUNTY NAME] County, State of Iowa, and subject to disposition by will or intestate succession, does not exceed the statutory limit for a small estate, which is currently set at $100,000 in accordance with Iowa law.

4. I am a beneficiary or heir of the deceased person's estate, and there is no other person with a superior right to receive the property described in this affidavit.

5. I am executing this affidavit for the purpose of claiming the personal property of the deceased person, specifically the following items:

   • Household goods

   • Personal electronics

   • Jewelry

I understand that by signing this affidavit, I am legally affirming that I am entitled to the property described herein, and I agree to indemnify and hold harmless any person or entity who relies on this affidavit in transferring the property to me.

I understand that providing false information in this affidavit is a criminal offense and may result in legal action against me.

I hereby request that the property described herein be released to me as the rightful beneficiary/heir of the deceased person's estate.

Signatures

[YOUR NAME]

[YOUR EMAIL]

Sworn to and subscribed before me on this [DATE].

[NOTARY PUBLIC'S NAME]

[NOTARY PUBLIC'S COMMISSION NUMBER]

[NOTARY PUBLIC'S EXPIRY DATE]

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