Small Estate Affidavit Form
For the transfer of a deceased person's estate without probate.
STATE OF [State]
COUNTY OF [County]
I, [Your Name], residing at [Your Address], being of legal age and competent to make this affidavit, declare under penalty of perjury the following:
AFFIANT INFORMATION
DECEDENT INFORMATION
ESTATE VALUE
The total value of the decedent’s estate, excluding exempt assets (such as homestead property and personal belongings), does not exceed [Amount], in accordance with the laws of the State of [State].
NO PENDING PROBATE PROCEEDINGS
No application or petition for the appointment of a personal representative or probate of the estate is pending or has been granted in any court.
RIGHT TO CLAIM ESTATE ASSETS
I am legally entitled to inherit or collect the following assets of the decedent as an heir, beneficiary, or legal representative:
Description of Asset | Location | Estimated Value |
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AFFIRMATION & SIGNATURE
I declare under penalty of perjury that the information in this affidavit is true and correct to the best of my knowledge.
Affiant’s Signature:
Name:
Date:
Witness 1 Signature:
Name:
Date:
Witness 2 Signature:
Name:
Date:
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