Hawaii Small Estate Affidavit

Introduction

I, [YOUR NAME], being duly sworn, depose and state as follows:

Statement of Facts

1. [DECEASED'S NAME] (the "Decedent") passed away on [DATE OF DEATH], and was a resident of [COUNTY], Hawaii at the time of their death.

2. The Decedent was survived by [LIST OF SURVIVING FAMILY MEMBERS].

3. The Decedent held a bank account with [BANK NAME], account number [ACCOUNT NUMBER], with an approximate balance of $[BALANCE AMOUNT] at the time of their death.

4. The total value of the Decedent's estate, including the bank account, does not exceed the limit prescribed by Hawaii law for small estate affidavits.

5. There is no real property involved in the Decedent's estate.

6. The undersigned is a legal heir/beneficiary entitled to claim the funds from the Decedent's bank account.

Sworn Oath

I solemnly swear under penalty of perjury that the foregoing statements are true and correct to the best of my knowledge, information, and belief.

[YOUR NAME]

Subscribed and sworn to before me this [DATE] day of [MONTH], [YEAR].

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Notary Public in and for the State of Hawaii

My Commission Expires: [EXPIRATION DATE]

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