Free Pennsylvania Small Estate Affidavit Template
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
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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.
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I am the [Relationship to the deceased] of the deceased. There are no other surviving heirs entitled to the estate under Pennsylvania law.
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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.
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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.
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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.
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I hereby request that the assets of the estate be distributed to me, [Your Name], as the sole heir and beneficiary of the deceased.
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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
