Louisiana Small Estate Affidavit Template
This Small Estate Affidavit is prepared in accordance with Louisiana law, specifically under Louisiana Revised Statutes, Title 9, Section 1511. It is intended for use by individuals seeking to settle the estate of a deceased person whose assets fall below the statutory limit.
Please fill in the blanks with the appropriate information.
Affidavit of Small Estate
State of Louisiana
Parish of ____________
Before me, the undersigned authority, personally came and appeared:
Affiant's Name: ____________________________
Affiant's Address: ____________________________
Affiant's Phone Number: ____________________________
Who, being duly sworn, deposes and says:
- The decedent's name is: ____________________________.
- The decedent's date of death is: ____________________________.
- The decedent's last known address is: ____________________________.
- The total value of the decedent's estate is less than $125,000.
- The decedent left no will.
The undersigned affiant declares that:
- All debts of the decedent have been paid or will be paid from the estate.
- The affiant is an heir or legatee of the decedent.
- The assets of the estate are as follows:
List of Assets:
- Asset 1: ____________________________
- Asset 2: ____________________________
- Asset 3: ____________________________
- Additional assets may be listed here: ____________________________
By signing this affidavit, I affirm that the information provided is true and correct to the best of my knowledge.
Affiant's Signature: ____________________________
Date: ____________________________
Sworn to and subscribed before me this ____ day of __________, 20__.
Notary Public Signature: ____________________________
Notary Public Name: ____________________________
My Commission Expires: ____________________________