Indiana Small Estate Affidavit
Pursuant to the relevant provisions under Indiana Code 29-1-8-1, this affidavit allows for the collection of a decedent's personal property by their successors when the total value of the estate does not exceed the statutory threshold.
Section 1: Decedent Information
- Full Name of Decedent: ____________________________
- Date of Death: ____________________________
- County of Residence at Time of Death: ____________________________
- Last Four Digits of Social Security Number: _________
Section 2: Affiant Information
- Full Name of Affiant (person completing this affidavit): ____________________________
- Address: ____________________________
- City, State, Zip Code: ____________________________
- Phone Number: ____________________________
- Relationship to Decedent: ____________________________
Section 3: Estate Information
- Total Estimated Value of Decedent’s Personal Property: $__________
- List of Known Assets and their Estimated Values:
- Asset Description & Estimated Value: ____________________________
- Asset Description & Estimated Value: ____________________________
- Asset Description & Estimated Value: ____________________________
- Add additional lines as necessary.
Section 4: Declaration and Signature
I, ____(Affiant Name)____, declare under penalty of perjury under the laws of the State of Indiana that the information provided in this affidavit is accurate to the best of my knowledge and belief. I understand that this affidavit is being made for the purpose of collecting the decedent's personal property pursuant to Indiana Code 29-1-8-1. I agree to use the assets collected for the rightful settlement of the decedent's debts and distribute the remainder according to the law.
Signature of Affiant: ____________________________
Date: ____________________________
Notarization
This section to be completed by a notary public:
State of Indiana )
County of ________) ss:
On this ___ day of _______________, 20__, before me, a Notary Public in and for said County and State, personally appeared ____(Affiant Name)____, known to me (or satisfactorily proven) to be the person whose name is subscribed to the foregoing instrument, and acknowledged that they executed the same for the purposes therein contained.
In witness whereof, I have hereunto set my hand and official seal.
_________________________ (Notary Signature)
Printed Name: _____________
My Commission Expires: ______________