Wisconsin Small Estate Affidavit
Pursuant to the provisions of Wisconsin Statutes Section 867.03, this affidavit is made by an individual claiming as successor to transfer certain assets of a decedent whose estate qualifies as a small estate under the laws of the State of Wisconsin.
State of Wisconsin
County of _______________
I, _____________________, being duly sworn, depose and say:
- I reside at: ________________________________________________.
- My mailing address is: _______________________________________.
- I am the successor of ________________________, deceased, (hereinafter "Decedent") who resided at the time of death in the County of ________________, State of Wisconsin.
- The Decedent died on ___________________, 20____.
- At the time of death, the Decedent was not married.
- The total value of the Decedent's entire estate subject to administration in Wisconsin, 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.
- I have a legal right to inherit the property claimed as described below:
Description of Property:
______________________________________________________________
______________________________________________________________
By signing this affidavit, I declare under penalty of perjury under the laws of the State of Wisconsin that the foregoing is true and correct.
Executed this ____ day of ____________, 20____.
__________________________________
(Signature of Affiant)
Subscribed and sworn to before me this ____ day of ____________, 20____.
__________________________________
(Signature of Notary Public)
My commission expires: _______________