Indiana Small Estate Affidavit
This Small Estate Affidavit is prepared in accordance with Indiana Code § 29-1-8-1.
Affidavit of Small Estate
State of Indiana
County of __________
Before me, the undersigned notary public, personally appeared:
Affiant's Name: _______________________________
Affiant's Address: _____________________________
Affiant's Phone Number: _______________________
Being first duly sworn, I hereby state the following:
- The decedent, Name of Decedent: ____________________________, died on Date of Death: ____________________.
- The decedent was a resident of County of Residence: ______________________, Indiana.
- The total value of the decedent's estate does not exceed $50,000, excluding any liens and encumbrances.
- The decedent left no will.
- The following individuals are the heirs at law of the decedent:
- Name: ___________________________ Relationship: ______________________
- Name: ___________________________ Relationship: ______________________
- Name: ___________________________ Relationship: ______________________
The undersigned affiant requests that the estate of the decedent be distributed according to Indiana law.
Signature of Affiant: ___________________________
Date: ________________________________________
Notary Public:
Signature: ________________________________
Printed Name: ____________________________
My Commission Expires: ___________________