Michigan Small Estate Affidavit
This Small Estate Affidavit is designed for use in the state of Michigan, in accordance with the Michigan Compiled Laws, Act 290 of 1968, as amended.
Affidavit of Small Estate
State of Michigan
County of _______________
Before me, the undersigned authority, personally appeared:
Affiant Name: ______________________________________
Affiant Address: ______________________________________
Affiant Phone Number: ______________________________________
Who, being duly sworn, deposes and says:
- The decedent, Name of Decedent: ______________________________________, died on Date of Death: ____________________.
- The decedent resided in County of Residence: ______________________________________.
- The gross value of the decedent's estate does not exceed $22,000.00, excluding any property that is exempt from claims of creditors.
- The following are the known heirs of the decedent:
- Heir Name: ______________________________________, Relationship: ______________________________________
- Heir Name: ______________________________________, Relationship: ______________________________________
- Heir Name: ______________________________________, Relationship: ______________________________________
The undersigned affiant hereby requests that the following property be distributed to the heirs listed above:
- Description of Property: ______________________________________
- Description of Property: ______________________________________
- Description of Property: ______________________________________
The undersigned affiant declares under penalty of perjury that the foregoing is true and correct.
Executed on Date: ____________________.
______________________________
Signature of Affiant
______________________________
Printed Name of Affiant
Notary Public:
______________________________
Signature of Notary Public
______________________________
Printed Name of Notary Public
My commission expires: ________________