Form Rev 80 0029 - Affidavit Of Successor
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Affi davit of Successor
The “Affi davit of Successor” may be used if the decedent left no will and the estate was not probated.
Living heirs have certain rights according to Washington State laws of Descent and Distribution. One
heir may claim and distribute to other heirs with their written approval. Please note this affi davit is
only to be used for personal property. The transfer of real estate or real property is not allowed.
The undersigned, being fi rst duly sworn, on oath deposes and says:
1.
That the name and address of the undersigned successor is as follows:
a. Decedent Name:
Successor Name:
b. Address:
c. City:
State:
Zip:
2.
The undersigned claimant is a “successor” as defi ned in Revised Code of Washington (RCW) 11.62.005.
3.
The decedent was, at the time of their death, a resident of the state of Washington.
4.
The value of the entire estate of the decedent subject to probate, wherever located, (not including any surviving
spouse’s community property interest in any assets which are subject to probate in the decedent’s estate), less
liens and encumbrances, does not exceed $100,000.
5.
Forty days have elapsed since the death of the decedent.
6.
No application or petition for the appointment of a personal representative is pending or has been granted in
any jurisdiction.
7.
All debts of the decedent including funeral and burial expenses have been paid or provided for.
8.
The undersigned successor claims the following personal property, which property is subject to probate:
Description of Property
Amount
9.
The undersigned successor has given written notice, either by personal service or by mail, identifying his or her
claim, and describing the property claimed, to all other successors of the decedent, and that at least ten days
have elapsed since the service or mail of such notice.
10.
The undersigned successor is: (One box MUST be checked and the back of this form (page 2) must be
completed or the form will be rejected)
Personally entitled to full payment or delivery of the property described above as the sole heir or,
Accepting full payment or delivery of the property described above on behalf of all successors with
notarized written authority included with this form or,
An heir entitled to a portion of the property described above and claiming only that portion.
Dated this
day of
,
(yr.)
Subscribed and sworn (or affi rmed) to by:
(Successor Signature)
(Successor) before me this
day of
,
(yr.)
(Notary Signature)
(Seal)
Notary in and for the State of
My commission expires
Residing at
REV 80 0029 (3/19/09)
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Parent category: Financial