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Small Estate Affidavit

General Info
Decedent Details
Expenses and Claims
Final Step
Print/Download

Funeral Expenses

Have the decedent's funeral expenses been paid?

Yes No

Provide the following information for any unpaid funeral expenses

Name of Organization:

Amount Owed:

$

Address: (e.g. Street, City, State Zip Code)

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Claims

Are there any claims against the estate that are not related to funeral expenses?

Yes No

Provide the following information for any claims against the estate that you are aware of

Name of Creditor:

Amount Owed:

$

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Dispute Estate

Are there any claims against the estate that you dispute?

Yes No

What claims do you dispute?

Name:

Address: (e.g. Street, City, State Zip Code)

Type or amount of claim:

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Decedent die with a will

Did the decedent die with a will?

Yes No

What date was the will signed by the decedent?

Were there any codicils?

Yes No

What is the date of each codicil?

e.g. November 3, 2010

How did the will and/or codicils come into the affiant's possession?

Who is the decedent survived by?

Spouse or Domestic Partner

Yes No

Children

Yes No

Extended Family

Yes No

Is the surviving spouse or partner the natural or adoptive parent of decedent's children?

All of the decedent's Children At least one of the decedent's Children None of the decedent's Children

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