PENNSYLVANIA SMALL ESTATE AFFIDAVIT

INTRODUCTION

State of Pennsylvania

County of [County Name]

I, [Your Name], being duly sworn, depose and state as follows:

STATEMENT OF FACTS

1. I am the lawful heir of the deceased, [Deceased's Full Name], who passed away on [Date of Death], in the County of [County Name], State of Pennsylvania.

2. I am the [Relationship to the deceased] of the deceased. There are no other surviving heirs entitled to the estate under Pennsylvania law.

3. To the best of my knowledge and belief, the total value of the estate of the deceased, including all assets and personal property, does not exceed the sum of $50,000.

4. The assets of the estate consist of the following:

   a. Bank Account: [Bank Name] with account number [Account Number].

   b. Real Estate: Property located at [Address].

   d. Personal Property: Various household items, furniture, and electronics.

5. To the best of my knowledge, there are no outstanding debts owed by the deceased or the estate, except for funeral expenses, which have been paid in full.

6. I hereby request that the assets of the estate be distributed to me, [Your Name], as the sole heir and beneficiary of the deceased.

7. I affirm that all other potential heirs at law, if any, have consented to the distribution of the estate's assets to me as the sole heir.

SWORN OATH

I declare under penalty of perjury under the laws of the State of Pennsylvania that the foregoing is true and correct .

SIGNATURE

[Your Name]
Affiant

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