Introduction

I, [YOUR NAME], Clerk of the Circuit Court of [COUNTY NAME], hereby certify the following:

Statements

1. Identification of Deceased Individual:

   • Name of Deceased: [DECEASED'S NAME]

   • Date of Death: [DATE OF DEATH]

   • Place of Residence at Time of Death: [DECEASED'S ADDRESS]

2. Description of Real Estate Property:

   • Type of Property: Family Home

   • Address: [PROPERTY ADDRESS]

3. Value of Real Estate Property:

   • Fair Market Value: $[MARKET VALUE]

   • Assessment Value (if available): $[ASSESSMENT VALUE]

4. Eligibility for Small Estate Affidavit:

   • The real estate property identified above falls within the definition of a "small estate" as defined by West Virginia law.

   • The value of the estate does not exceed the threshold specified by relevant statutes for the use of a Small Estate Affidavit.

5. Intent to Transfer Ownership:

   • The heirs or beneficiaries of the deceased individual, as determined by law or by the terms of any existing will, are hereby informed of their right to claim ownership of the real estate property described above.

6. Procedure for Claiming Ownership:

   • The heirs or beneficiaries may obtain a copy of this affidavit from the Circuit Court of [COUNTY NAME].

   • The affidavit must be completed and filed with the appropriate government office responsible for recording real estate transactions in [COUNTY NAME].

   • Any applicable fees or taxes associated with the transfer of ownership must be paid by the heirs or beneficiaries.

This affidavit is provided to facilitate the prompt and efficient transfer of ownership of real estate assets to the rightful heirs or beneficiaries of the deceased individual. It is issued in accordance with the laws of the State of West Virginia and is subject to verification by the appropriate authorities.

Signature

[YOUR NAME]

Circuit Court of [COUNTY NAME], West Virginia

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