STATE OF WASHINGTON
Estate of
SMALL ESTATE AFFIDAVIT
(RCW 11.62.010)
Deceased.
Having been sworn under oath, I declare as follows:
1. Decedent's Death Certificate. A copy of Decedent's Death Certificate is
attached to this Affidavit.
2. Forty-Days Since Death. Forty (40) or more days have elapsed since
Decedent's death.
3. Washington Resident. Decedent was a resident of Washington at his/her death.
4. No Personal Representative. No application or petition for the appointment of
a Personal Representative is pending or has been granted in any jurisdiction.
5. Decedent's Net Probate Estate Does Not Exceed $100,000. The value of
Decedent's entire estate subject to probate, not including any surviving spouse's
community property interest in such assets, wherever located, less liens and
encumbrances, does not exceed one-hundred thousand dollars ($100,000).
6. Decedent's Debts. All of Decedent's debts, including funeral and burial
expenses, have been paid or provided for.
7. My Name & Address. My name and address are as shown below.
8. Claiming Successor. I am a "successor" of Decedent as defined in RCW
11.62.005.
Small Estate Affidavit
RCW 11.62.010
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