Affidavit Under The Small Estates Act
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1
2A
U
T
S
FFIDAVIT
NDER
HE
MALL
Case Number
____________ Court
E
A
____________ County,
STATES
CT
Tennessee
IN THE MATTER OF THE ESTATE OF ____________________________________, DECEASED
Decedent, age _____, died on ___________________[date], in _________________[county], State of
_________________. Decedent's last residence was ___________________________________________.
Choose one:
Decedent left no will.
Decedent left a will attached to this affidavit as EXHIBIT A.
Decedent left at death the following unpaid debts:
CREDITOR
ADDRESS
AMOUNT
____________________________
______________________________________
_______________
____________________________
______________________________________
_______________
____________________________
______________________________________
_______________
[If other debts, attach separate sheet.]
Choose one:
Because it has been more than one year from Decedent’s date of death, the clerk shall not give notice to
creditors pursuant to Section 30-2-306(f) of the Tennessee Code Annotated.
I elect that notice to creditors be given in the manner required for regular administration such that all the
provisions of Sections 30-2-306 through 30-2-321 of the Tennessee Code Annotated shall apply.
Decedent died owning the following property [list all personal property and who now has possession]:
ITEM
LOCATION AND POSSESSION
VALUE
____________________________
_______________________________________________________
____________
____________________________
_______________________________________________________
____________
____________________________
_______________________________________________________
____________
SUBTOTAL
____________
[If other items, attach separate sheet.]
TOTAL FROM ATTACHED SHEETS
____________
TOTAL
____________
Decedent died owning the following real estate: [List street address and state improvements. If vacant,
state acreage.]
DESCRIPTION
VALUE
_____________________________________________________________________________________
____________
______________________________________________________________________________________
____________
[If other real estate, attach separate sheet.] NOTE: This Affidavit does not transfer title to real estate under Tennessee law.
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