Washington Small Estate Affidavit
Pursuant to the Revised Code of Washington (RCW) 11.62.010, this document serves as a declaration for the collection of personal property belonging to a deceased individual, herein referred to as the "Decedent", by an heir or designated representative when the total value of the estate does not exceed the amount prescribed by state law. This affidavit may not be used until thirty (30) days have elapsed since the death of the Decedent.
1. Decedent Information:
- Full Name: ___________________________
- Date of Death: ________________________
- County of Death: ______________________
- Last Known Address: ____________________
2. Affiant Information:
- Full Name: ___________________________
- Relationship to Decedent: _______________
- Address: _____________________________
- Telephone Number: ____________________
3. Estate Information:
The undersigned states under penalty of perjury under the laws of the State of Washington that:
- The value of the entire personal estate of the Decedent, based on fair market value at the time of death, does not exceed the amount stipulated by RCW 11.62.010.
- At least thirty (30) days have elapsed since the death of the Decedent.
- No application or petition for the appointment of a personal representative is pending or has been granted in any jurisdiction.
- All debts of the Decedent, including funeral and burial expenses, have been paid or adequately provided for.
- The claiming successor is lawfully entitled to payment or delivery of the property.
4. Description of Property:
List all personal property, including but not limited to bank accounts, stocks, and personal belongings, that is to be collected or transferred using this affidavit. Provide descriptions and approximate values:
______________________________________________________________________________
______________________________________________________________________________
5. Signature:
I, _________________________ (name of affiant), declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct to the best of my knowledge.
Date: _________________
Signature: ______________
This document is not valid until signed in the presence of a notary public.
Notarization
State of Washington
County of ___________________
Subscribed and sworn to (or affirmed) before me this __________ day of ______________, 20____, by _____________________________, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument.
__________________________
Notary Public in and for the State of Washington
My Commission Expires: ______________