STATE OF NEW JERSEY

COUNTY OF [County]

Introduction:

I, [YOUR NAME], residing at [YOUR ADDRESS], being duly sworn, declare under penalty of perjury as follows:

Statement of Facts:

1. The decedent, [Decedent's Name], passed away on [Date of Death]. Their last place of residence was at [Decedent's Address].

2. As the affiant, I, [YOUR NAME], have a relationship to the decedent as [Your Relationship to the Decedent]. My current address is [YOUR ADDRESS], where I can be contacted for matters related to the decedent's estate.

3. This information is provided to facilitate the process of settling the decedent's affairs in accordance with New Jersey laws regarding the disposition of the estate.

4. The total value of the decedent's personal property, including the contents of bank accounts and personal belongings, does not exceed $20,000, the current threshold for small estates in New Jersey. At least ten days have elapsed since the death of the decedent.

5. Real Estate:

   • Property Address: [Property Address]

   • Legal Description: Legal Description: Lot 23, Block 10, Meadowbrook Estates, Newark, New Jersey, 07102.

Declaration of Heirs/Beneficiaries:

I am the lawful successor to the estate of the decedent (or if there are other successors, list their names and relationships to the decedent, and specify the portion of the estate each successor is entitled to under New Jersey law).

Obligations:

I understand that I am obligated to use the assets collected from the decedent’s estate to pay off any of the decedent’s outstanding debts and obligations before distributing the remaining assets among the entitled successors.

Affirmation:

I affirm that all statements made in this affidavit are true and correct to the best of my knowledge and belief. I understand that making a false statement under oath is subject to penalties for perjury.

Signature:

[YOUR NAME]

[DATE]

[Notary's Name]

[DATE]

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