Small Estate Affidavit Page 3

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10. ( a ) The decedent left no will. The names, places of residence and relationship of
the decedent's heirs, and the portion of the estate to which eash heir is entitled under
the law where decedent died intestate are as follows:
Name, relationship
Age of
Portion of
and place of residence
Minor
estate
(or)
( b )
The decedent left a will, which has been filed with the clerk of an
appropriate court. A certified copy of the will on file is attached. To the best of my
knowledge and belief the will on file is the decedent's last will and was signed by the
decedent and the attesting witnesses as required by law and would be admissable to
probate. The names and places of residence of the legatees and the portion of the estate,
if any, to which each legatee is entitled are as follows:
Name, relationship
Age of
Portion of
and place of residence
Minor
estate
(Strike either 10(a) or 10(b).)
( c ) Affiant is unaware of any dispute or potential conflict as to heirship or
will of the decedent.
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