North Carolina Small Estate Affidavit Template
This Small Estate Affidavit is designed for use in North Carolina, in accordance with N.C. Gen. Stat. § 28A-25-1. It allows individuals to claim assets of a deceased person without the need for formal probate proceedings when the estate meets certain criteria.
Affidavit of Small Estate
State of North Carolina
County of ____________________
We, the undersigned, being duly sworn, hereby declare the following:
1. The decedent, __________________________, died on _____________, 20____, in ______________________ County, North Carolina.
2. The decedent's last known address was:
__________________________________________
3. The total value of the decedent's estate does not exceed $34,000 (or $60,000 if the surviving spouse is the sole heir).
4. The following assets belong to the decedent:
- __________________________________________
- __________________________________________
- __________________________________________
5. The names and addresses of the heirs are as follows:
- Name: __________________________, Address: __________________________
- Name: __________________________, Address: __________________________
- Name: __________________________, Address: __________________________
6. No application or petition for the appointment of a personal representative is pending or has been granted in any jurisdiction.
7. We affirm that we are entitled to the assets listed above and that we will distribute them according to the laws of intestate succession in North Carolina.
8. We understand that this affidavit must be filed with the appropriate financial institutions or other entities holding the decedent's assets.
In witness whereof, we have executed this affidavit on this ____ day of ____________, 20____.
______________________________
Signature of Affiant
______________________________
Printed Name of Affiant
______________________________
Signature of Co-Affiant (if applicable)
______________________________
Printed Name of Co-Affiant (if applicable)
Sworn to and subscribed before me this ____ day of ____________, 20____.
______________________________
Notary Public
My commission expires: ________________