Utah Small Estate Affidavit Template
This affidavit is designed in compliance with the Utah Code, specifically under Utah Code Ann. § 75-3-1201, to simplify the process of transferring assets of a deceased person (the decedent) to an heir or beneficiary when the total value of the estate does not exceed the threshold set by Utah law. This document allows for the collection of the decedent’s property by the rightful heirs without a formal probate proceeding.
State of Utah
County of ____________________
I, ____________________, residing at ____________________, being duly sworn, declare:
1. The decedent, ____________________, whose last known address was ____________________, County of ____________________, State of Utah, died on ____________________.
2. At the time of death, the decedent was domiciled in Utah, specifically in the County of ____________________.
3. More than thirty (30) days have elapsed since the decedent's death.
4. No application or petition for the appointment of a personal representative is pending or has been granted in any jurisdiction.
5. The fair market value of the entire estate that the decedent owned, not including property titled in the decedent’s name as trustee of a revocable trust, does not exceed $__________, in accordance with the limit prescribed by Utah law.
6. A descriptive list of all the personal property, their estimated value, and the names of the persons entitled to receive the property is as follows:
- Description of Property: ____________________, Estimated Value: $__________, Name of Person Entitled: ____________________
- Description of Property: ____________________, Estimated Value: $__________, Name of Person Entitled: ____________________
- Add more as necessary..
7. Any debts owed by the decedent have been paid, or arrangements to pay them are in place.
I attest under penalty of perjury under the laws of the State of Utah that the foregoing is true and correct.
Date: ____________________
Signature of Affiant: ____________________
Subscribed and sworn to before me this __________ day of ____________________, 20____.
Notary Public: ____________________
My Commission Expires: ____________________