Small Estate Affidavit And Order Page 2
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95 .
The value of the entire assets of Decedent as of the date of
death, exclusive of homestead and exempt property, does not exceed
$50,000.00, and those non-exempt assets exceed the known liabilities of the
estate.
6 .
The only real estate owned by Decedent is the residence
homestead described below.
7 .
Decedent was not married at the date of his death.
Decedent
l e f t
n o
w i l l .
D e c e d e n t
h a d
o n l y
t w o
c h i l d r e n ,
____________________________
and
________________________,
and both children survived Decedent. [Note: Relevant family history facts
concerning heirship must be stated here.]
8 .
The names and addresses of all the distributees, heirs, devisees,
or assigns of the money or property of the estate of Decedent, and their
right to receive the same are as follows:
Relationship to
n
Name and Address
Decedent
Share of Estate
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Daughter and Heir
One-half (
)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
of estate (real
n
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
and personal)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Daughter and Heir
One-half (
)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
of estate (real
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
and personal)
9 .
The known assets of Decedent's estate are as follows:
SMALL ESTATE AFFIDAVIT AND ORDER
PAGE 2
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