Pennsylvania Small Estate Affidavit Template
This Small Estate Affidavit is designed for use in Pennsylvania under 20 Pa.C.S. § 3101. It allows the distribution of a deceased person's assets without formal probate proceedings, provided the estate qualifies. Please complete the following sections accurately.
Affidavit of Small Estate
I, the undersigned, hereby declare the following:
1. Affiant Information
- Name: ____________________________________
- Address: ____________________________________
- Phone Number: ____________________________________
2. Decedent Information
- Name: ____________________________________
- Date of Death: ____________________________________
- Last Known Address: ____________________________________
3. Estate Value
The total value of the estate is less than $50,000 and consists of the following:
- Cash: $______________________
- Real Estate: $______________________
- Personal Property: $______________________
4. Heirs of the Estate
The following individuals are the heirs of the decedent:
- Name: ____________________________________ - Relationship: _____________________
- Name: ____________________________________ - Relationship: _____________________
- Name: ____________________________________ - Relationship: _____________________
5. Affiant's Statement
I affirm that I am an heir of the decedent and that the information provided herein is true and correct to the best of my knowledge. I further declare that there are no pending debts or claims against the estate that would exceed the small estate threshold.
Signature
____________________________________
Date: ______________________________
Signed in the presence of:
____________________________________
Witness Signature
Date: ______________________________
This affidavit is executed for the purpose of claiming the assets of the estate without formal administration.
Note: Ensure this affidavit is notarized and filed with the appropriate court. Check local laws for additional requirements.