Affidavit Under The Small Estates Act Page 2
ADVERTISEMENT
1
2Decedent owned the following insurance policies payable to Decedent's estate:
INSURANCE COMPANY
POLICY NUMBER
FACE VALUE
______________________________________________________
_____________________________
____________
______________________________________________________
_____________________________
____________
[If other items, attach separate sheet.]
TOTAL
____________
The persons entitled to receive the assets of the estate are:
NAME
COMPLETE ADDRESS
AGE
RELATIONSHIP
______________________________
__________________________________________
_____
________________
______________________________
__________________________________________
_____
________________
______________________________
__________________________________________
_____
________________
______________________________
__________________________________________
_____
________________
[If other persons, attach separate sheet.]
I am willing to collect and preserve all assets of this estate, pay all creditors and distribute the remainder
according to the terms of the will or according to the laws of descent and distribution of the State of
Tennessee.[Sections 30-2-305 and 30-4-104(c) of the Tennessee Code Annotated.] I will file returns and
pay the tax on property in this estate as required by law. [Section 30-4-104(d) of the Tennessee Code
Annotated.]
S
, I
UBJECT TO PENALTY FOR PERJURY
EVIDENCE BY MY SIGNATURE THE FACTS STATED IN THIS
,
,
AFFIDAVIT ARE NOT FALSE OR MISLEADING AND ARE TRUE
CORRECT
AND COMPLETE TO THE BEST OF
. I
MY KNOWLEDGE AND BELIEF
AM MINDFUL OF THE DUTIES AS IMPOSED UPON ME BY THE SMALL
.
ESTATES ACT
This ____ day of __________________, 20___.
____________________________________
Affiant
____________________________________
____________________________________
Address
[
]
____________________________________
S
T
TATE OF
ENNESSEE
[Phone]
_______________ C
OUNTY
Sworn to and subscribed before me this _____ day of ___________________________, 20___.
_____________________________________
Deputy Clerk
AFFIDAVIT UNDER SMALL ESTATES ACT
PAGE 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Sec Form N3 - Registration Statement Under The Securities Act Of 1933 And/or Registration Statement Under The Investment Company Act Of 1940
Legal
Standard Form 1093 - Schedule Of Withholdings Under The Davis-bakon Act And/or The Contract Work Hours And Safety Standards Act - 1971
Legal
Form 25100(u) - Notice Of Issuance Of Securities By An Investment Company Registered Under The Investment Company Act Of 1940 For The 12-month Period Commencing From The Date Of The Filing Of The Notice
Legal
Sec 1919 (1-07) Form T-3 For Applications For Qualification Of Indentures Under The Trust Indenture Act Of 1939
Legal
Sec 1939 - Form Sip - Application Or Amendment To Application For Registration As Securities Information Processor Under The Securities Exchange Act Of 1934
Business
Related Categories
Parent category: Legal