Connecticut Small Estate Affidavit
Pursuant to the Connecticut Probate Act, this document serves to expedite the process for the distribution of estate assets when the total value does not exceed state-specific thresholds. This affidavit is a sworn statement confirming the entitlement of the undersigned to receive property from the decedent’s estate without formal probate.
Instructions: Complete all sections thoroughly and accurately. Ensure all provided information reflects the decedent's estate details at the time of death.
Section 1: Decedent Information
Name of Decedent: ___________________________
Date of Death: ___________________________
Last Known Address: ___________________________
City, State, Zip: ___________________________
County of Death: ___________________________
Section 2: Affiant Information
Name of Affiant: ___________________________
Relationship to Decedent: ___________________________
Address: ___________________________
City, State, Zip: ___________________________
Section 3: Estate Information
Total Estimated Value of Estate: ___________________________
List all known assets and their estimated value:
- Asset 1: ___________________________ Value: ___________________________
- Asset 2: ___________________________ Value: ___________________________
- Asset 3: ___________________________ Value: ___________________________
- Additional assets can be attached on a separate sheet if necessary.
Section 4: Debts and Liabilities
List all known debts and liabilities:
- Debt 1: ___________________________ Amount: ___________________________
- Debt 2: ___________________________ Amount: ___________________________
- Debt 3: ___________________________ Amount: ___________________________
- Additional debts can be attached on a separate sheet if necessary.
Section 5: Affirmation
I, ___________________________ (Affiant), swear or affirm under penalty of perjury that the information provided in this affidavit is true to the best of my knowledge, belief, and understanding. I understand that providing false statements may result in criminal and/or civil penalties.
Date: ___________________________
Affiant Signature: ___________________________
This document does not require notarization; however, it may be notarized for additional legal affirmation and validity upon discretion of the affiant or as required by an institution or entity.