Louisiana Small Estate Affidavit
This document is prepared in accordance with the Louisiana Small Successions Act, specifically tailored to settle small estates that meet the criteria set by state legislature. The purpose is to simplify the transfer of assets from the deceased to the rightful heirs without a lengthy probate process.
Instructions: Complete all sections accurately. Where information is unknown or not applicable, write "N/A". Ensure the document is signed in the presence of a notary public to validate its authenticity.
______________________________ [Date]
Affiant Information
Full Name: ______________________________
Relationship to Decedent: ______________________________
Phone Number: ______________________________
Address: __________________________________________
City: ___________________ State: _____ Zip Code: ___________
Decedent Information
Full Name of Decedent: ______________________________
Date of Death: ______________________________
Last Known Address: __________________________________________
City: ___________________ State: Louisiana Zip Code: ___________
Did the Decedent leave a Will? Yes [] No [] If yes, attach a copy of the Will.
Description of Assets
Please provide a detailed description of the decedent's assets that are to be distributed under this affidavit, including bank accounts, vehicles, real estate (if applicable and under the small estate threshold), and any other personal property.
- Asset 1: ____________________________________________
- Asset 2: ____________________________________________
- Asset 3: ____________________________________________
Debts and Liabilities
List any known debts and liabilities of the decedent below:
- Debt 1: ____________________________________________
- Debt 2: ____________________________________________
- Debt 3: ____________________________________________
Heir Information
Provide the name(s) and relationship(s) of the heir(s) entitled to the estate.
- Heir 1: Name __________________________, Relationship ____________________
- Heir 2: Name __________________________, Relationship ____________________
- Heir 3: Name __________________________, Relationship ____________________
Declaration
I, ______________________________ [Affiant’s Name], swear (or affirm) that the information provided in this affidavit is true and correct to the best of my knowledge. I understand that any false statement made in this affidavit is subject to penalties for perjury. I further acknowledge that this affidavit is executed under the provisions of the Louisiana Small Estates Act and is intended to collect the small estate of the decedent without formal administration.
Affiant's Signature: ______________________________
Date: ______________________________
Notary Public
State of Louisiana
Parish of _________________________
Subscribed and sworn to before me this ____ day of _________________, 20__.
Notary's Signature: ______________________________ [SEAL]
Commission No.: __________________