Minnesota Small Estate Affidavit Template
This Small Estate Affidavit is created in accordance with Minnesota Statutes, Section 524.3-1201, which allows individuals to claim certain assets of a deceased person without going through formal probate proceedings.
Affidavit of Small Estate
State of Minnesota
County of __________
In the matter of the estate of:
Decedent's Name: ____________________________
Date of Death: ____________________________
I, the undersigned, being duly sworn, do hereby declare and affirm the following:
- Affiant's Name: ____________________________
- Affiant's Address: ____________________________
- Affiant's Relationship to Decedent: ____________________________
1. The total value of the estate, excluding any property that is exempt from claims of creditors, does not exceed $75,000.
2. No application for the appointment of a personal representative is pending or has been granted in Minnesota.
3. The following assets are included in the estate:
- Asset Description: ____________________________
- Asset Value: ____________________________
- Asset Description: ____________________________
- Asset Value: ____________________________
- Asset Description: ____________________________
- Asset Value: ____________________________
4. I understand that this affidavit may be used to collect the assets of the decedent and that any false statements made herein may subject me to criminal penalties.
5. I affirm that I am entitled to receive the property described above and that I will distribute the assets according to the laws of Minnesota.
Executed this ____ day of __________, 20__.
Affiant's Signature: ____________________________
Affiant's Printed Name: ____________________________
Subscribed and sworn to before me this ____ day of __________, 20__.
Notary Public: ____________________________
My Commission Expires: ____________________________