Indiana Small Estate Affidavit Template
This template serves as a guideline for individuals seeking to claim property from a small estate under the provisions of the Indiana Small Estate Act. Please note, this document should be filed in the county where the deceased resided at the time of their death or where the property is located.
State of Indiana
County of ____________
Pursuant to the Indiana Small Estate Act, the undersigned states as follows:
- Decedent Information:
Full Name: ________________
Date of Death (MM/DD/YYYY): ________________
County of Residence at Time of Death: ________________
Address: ________________
- Claimant Information:
Full Name: ________________
Relationship to Decedent: ________________
Address: ________________
Phone Number: ________________
Email Address: ________________
- Description of Property:
Please provide a detailed description of the property or properties being claimed, including location details if relevant.
________________
________________
- Value of the Estate:
The total estimated value of the decedent's personal property subject to this affidavit does not exceed the sum allowed under the Indiana Small Estate Act (excluding vehicles and real estate).
Total Estimated Value: $_____________
- Affidavit Verification:
I, ________________ (Claimant’s Full Name), affirm that all statements made in this affidavit are true and accurate to the best of my knowledge. I understand that providing false information may result in penalties. I hereby claim the described property from the decedent’s estate and declare that no probate proceedings are currently being undertaken concerning the decedent's estate in Indiana or any other jurisdiction.
Executed on this ___ day of ____________, 20__.
_______________________________
Claimant's Signature
_______________________________
Printed Name
State of Indiana}
County of ____________}
Subscribed and sworn to (or affirmed) before me on this ___ day of ____________, 20__, by ________________ (name of the claimant).
_______________________________
Notary Public
My commission expires: ____________