Pennsylvania Small Estate Affidavit
Pursuant to the Pennsylvania Probate, Estates and Fiduciaries Code, Title 20, Chapter 31, this affidavit is used when the total value of the decedent's estate, excluding real property, does not exceed the amount specified by state law, currently set at $50,000. This document allows the transfer of property of a deceased individual without formal administration through the probate court.
Decedent Information:
Full Name of Decedent: _________________________
Date of Death: _________________________
Last known address: _________________________
County of domicile: _________________________
Affiant Information:
Full Name of Affiant: _________________________
Relationship to Decedent: _________________________
Address: _________________________
Telephone Number: _________________________
Email Address: _________________________
Statement of Claim:
The undersigned, being duly sworn, deposes and says that to the best of their knowledge and belief:
- The decedent died without a will, or with a will that does not require probate administration.
- All debts of the decedent, including funeral and burial expenses, have been paid or provided for.
- The value of the entire estate of the decedent, wherever located, less liens and encumbrances, does not exceed $50,000.
- No application or petition for the appointment of a personal representative is pending or has been granted in any jurisdiction.
- The legal description of the property is as follows: ___________________________.
- The names and addresses of those entitled to receive the property are: ___________________________.
Signature:
Affiant Signature: _________________________
Date: _________________________
State of Pennsylvania
County of _________________________
Subscribed and sworn to (or affirmed) before me this ___ day of ___________, 20__, by _________________________, proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
Notary Public:
Signature: ___________________________
Printed Name: _________________________
My Commission Expires: _______________
This document is not valid for the transfer of titled vehicles or real estate.