Florida Small Estate Affidavit
This document is used in the state of Florida to facilitate the distribution of the assets of a deceased person (decedent) under certain conditions, without the formalities of a probate court process. The use of this affidavit is specifically governed by Florida Statutes Section 735.201-735.206, also known as the "Disposition of Personal Property Without Administration" law.
Instructions: Complete all sections of this form. Please print or type all information, except signatures.
1. Decedent's Information:
- Full Legal Name: _____________________________________
- Date of Death (mm/dd/yyyy): ___________________________
- Last Known Address: ___________________________________
- County of Death: ______________________________________
- Were there any homestead property owned by the decedent? Yes [ ] No [ ]
2. Affiant's Information: (Person completing this affidavit)
- Full Legal Name: _____________________________________
- Physical Address: ____________________________________
- Relationship to Decedent: ____________________________
- Contact Phone Number: _______________________________
- Email Address (if available): _________________________
3. Description of Assets: Detail the assets of the decedent to be transferred using this affidavit.
- Type of Asset (e.g., Bank Account, Vehicle): __________________________________________
- Value of Asset ($): _____________________________________
- Account/Identification Number (if applicable): ________________________________________
- Institution/Bank Name (if applicable): _______________________________________________
- Additional Asset Description (if necessary): __________________________________________
4. Obligations and Expenses: List any known funeral expenses, medical bills, or other debts of the decedent that are outstanding.
- Description of Obligation/Expense: ___________________________________________________
- Amount Owed ($): ________________________________________
- Creditor Name: __________________________________________
- Contact Information of Creditor (if available): ________________________________________
5. Attestation by Affiant: I, [Affiant’s Name], swear/affirm under penalty of perjury that the information provided in this affidavit is true and correct to the best of my knowledge. I understand this affidavit is made for the purpose of requesting the transfer of the decedent’s assets in accordance with Florida law. I hereby agree to indemnify and hold harmless all parties relying on this affidavit for any claims that may arise as a result of accepting this affidavit.
__________________________________
Signature of Affiant
Date: _____________________________
6. Notarization: This section to be completed by a Notary Public.
State of Florida
County of ________________
On this day, ___________________________ , 20____, before me, the undersigned notary public, personally appeared ____________________________, known to me (or satisfactorily proven) to be the person whose name is subscribed to the above affidavit, and acknowledged that they executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
__________________________________
Notary Public
My Commission Expires: ______________