Small Estate Affidavit (Rcw 11.62.010) Page 2

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9. Other Claiming Successors.
No Others. I am the only claiming Successor; there are no others.
--- OR ---
Other Claiming Successors. There are other claiming Successors. I
have given each of them written notice, by personal service or mail,
identifying my claim and describing the property claimed. At least ten
(10) days have elapsed since the service or mailing of such notice.
10. Entitlement to Property.
Sole Entitlement. I am personally entitled to full payment or delivery of
the property claimed.
--- OR ---
Entitlement on Behalf of All Claiming Successors. I am personally
entitled to full payment or delivery of the property claimed on behalf, and
with the written authority, of all other claiming Successors; a copy of
which authority is attached to this Affidavit.
11. Property Claimed. A description of the personal property claimed, all of which
is subject to probate, is as follows:
Dated:
____________________________________
Signature:
____________________________________
Decedent's Claiming Successor
Printed Name:
____________________________________
Address:
____________________________________
Small Estate Affidavit
RCW 11.62.010
Page 2 of 3

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