Minnesota Small Estate Affidavit
Pursuant to the Minnesota Small Estates Act, this affidavit is to be used by the successors of a deceased person when the total value of the estate does not exceed the amount specified under state law, allowing for the collection of personal property without a formal probate proceeding.
Section 1: Decedent Information
Full Name of Decedent: ___________________________
Date of Death: ___________________________
County of Domicile at Time of Death: ___________________________
Did the Decedent have a will? Yes ____ No ____
If Yes, has the will been probated? Yes ____ No ____
Section 2: Affiant Information
Full Name of Affiant: ___________________________
Relationship to Decedent: ___________________________
Address: ___________________________
City: ___________________________
State: ___________________________
Zip Code: ___________________________
Contact Number: ___________________________
Section 3: Description of Property
Provide a detailed description of the property to be collected under this affidavit:
- Bank Accounts: ___________________________
- Vehicle Description (Make, Model, Year): ___________________________
- Other Personal Property: ___________________________
Section 4: Declaration
I, ___________________________ (Affiant), declare under the penalty of perjury under the laws of the State of Minnesota that the statements contained in this affidavit are true and correct to the best of my knowledge. I further affirm that the described personal property of the decedent has a total value not exceeding the amount prescribed by Minnesota law, that at least 30 days have passed since the death of the decedent, that no application or petition for the appointment of a personal representative is pending or has been granted in any jurisdiction, and that the claiming successor is entitled to payment or delivery of the property.
Section 5: Claim
The undersigned, as successor of the decedent, hereby demands payment or delivery of the described property.
Section 6: Signatures
Affiant Signature: ___________________________
Date: ___________________________
State of Minnesota
County of ___________________________
Subscribed and sworn to (or affirmed) before me on this ___ day of _____________, 20__, by ___________________________ (Name of Affiant).
_________________________________
(Signature of Notary Public)
Notary Public, State of Minnesota
My commission expires: _______________