Small Estate Affidavit (Rcw 11.62.010) Page 3
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4STATE OF WASHINGTON )
) ss.
COUNTY OF
)
SUBSCRIBED AND SWORN TO before me this ______ day of ___________, 200__ .
__________________________________________
Signature
__________________________________________
Printed Name
NOTARY PUBLIC for Washington
Residing at: _______________________________
My appointment expires on: __________________
Small Estate Affidavit
RCW 11.62.010
Page 3 of 3
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