INTRODUCTION

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

STATEMENT OF FACTS

1. I am the [RELATIONSHIP TO THE DECEDENT] of the deceased, [DECEDENT'S NAME], who passed away on [DECEDENT'S DEATH DATE], in [CITY NAME], Vermont.

2. The total value of the deceased's estate, excluding real estate and exempt property, does not exceed the statutory limit for a small estate proceeding under Vermont law, which is currently $ [AMOUNT]. A detailed inventory of the estate's personal property is attached hereto as Exhibit A.

3. The undersigned, along with the other beneficiaries of the estate listed in Exhibit A, are entitled to inherit the personal property described therein.

4. I understand that by signing this Affidavit, I am assuming personal liability for any debts or claims against the estate to the extent of the value of the property received.

5. I hereby request that the probate court issue an order authorizing the transfer of the personal property described in Exhibit A to the beneficiaries as listed therein.

SWORN OATH

I further certify that all information provided herein is true and correct to the best of my knowledge, information, and belief.

SIGNATURE

[YOUR NAME]

Sworn to before me this [DATE].

[NOTARY PUBLIC'S NAME]

Notary Public for the State of Vermont

My Commission Expires: [COMMISSION EXPIRY DATE]

This Vermont Small Estate Affidavit is hereby submitted to the probate court for approval and issuance of the requested order for the transfer of personal property to the beneficiaries.

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