Wyoming Small Estate Affidavit
This document is prepared in accordance with the Wyoming Small Estates Act, allowing for a simplified process of estate administration for estates that fall below a certain value threshold.
State of Wyoming
County of ___________________
Estate of ___________________, Deceased
Pursuant to Wyoming Statutes Section 2-1-201, the undersigned affiant(s) hereby make(s) the following statements to facilitate the transfer of the decedent's assets without formal probate proceedings:
Affiant Information
Full Name of Affiant: ___________________
Relationship to Decedent: ___________________
Address: ___________________
City, State, Zip: ___________________
Telephone Number: ___________________
Email Address: ___________________
Decedent Information
Full Name of Decedent: ___________________
Date of Death: ___________________ (MM/DD/YYYY)
Last known address: ___________________
City, State, Zip: ___________________
Asset Information
List all assets believed to be owned by the decedent and the estimated value of each. Please specify if an asset is real estate or personal property.
- Asset Description & Value: ___________________
- Asset Description & Value: ___________________
- Asset Description & Value: ___________________
Debts and Liabilities
Provide a summary of known debts and liabilities of the decedent:
- Description & Amount: ___________________
- Description & Amount: ___________________
- Description & Amount: ___________________
Heir Information
Provide the names and addresses of all known heirs and their relationship to the decedent:
- Name, Address & Relationship: ___________________
- Name, Address & Relationship: ___________________
- Name, Address & Relationship: ___________________
I/We affirm under penalty of perjury that the information provided herein is true and accurate to the best of my/our knowledge and belief. Further, I/We understand that this document does not transfer title of real property.
Executed this ____ day of _______________, 20__.
Affiant Signature: ___________________
Print Name: ___________________
Co-Affiant Signature (if applicable): ___________________
Print Name: ___________________
Notarization (if required by financial institution or entity transferring asset)
State of Wyoming
County of ___________________
Subscribed and sworn to before me this ____ day of _______________, 20__, by ___________________ [name of affiant(s)].
___________________
(Notary Public)
My Commission Expires: _______________
This document is intended for informational purposes only and may not cover all aspects of your specific situation. Professional legal advice should be sought to ensure compliance with state laws and regulations.