Massachusetts Small Estate Affidavit
Pursuant to the Massachusetts Uniform Probate Code, General Laws Chapter 190B, Article III, Section 3-1201, this affidavit is utilized to manage the distribution of the personal property of a decedent when the total value of the property does not exceed the amount specified by state law.
State of Massachusetts
County of _______________
I, _______________________ (Affiant’s Full Name), residing at ___________________________________________________________ (Affiant’s Address), being duly sworn, declare under penalty of perjury that the following statements are true and accurate:
- The decedent, _______________________ (Decedent’s Full Name), resided at ___________________________________________________________ (Decedent’s Last Address) and died on _______________________ (Date of Death), with a domicile in the County of _______________________ , Massachusetts.
- At least thirty (30) days have elapsed since the death of the decedent.
- No application or petition for the appointment of a personal representative is pending or has been granted in any jurisdiction.
- The estimated value of the personal property of the decedent, excluding the value of a motor vehicle, does not exceed twenty-five thousand dollars ($25,000).
- A written description of all the personal property and the proposed distribution is attached hereto.
- All debts owed by the decedent, including funeral and burial expenses, have been paid or adequately provided for.
- The claiming successor is entitled to payment or delivery of the property.
Under penalty of perjury, I affirm that the information provided in this affidavit is true and correct to the best of my knowledge.
Affiant’s Signature: _______________________
Date: _______________________
Subscribed and sworn to before me this ____ day of _______________, 20____.
_____________________________________
Notary Public
My Commission Expires: _______________
Instructions for Completing the Massachusetts Small Estate Affidavit:
- Provide all required information in the spaces provided.
- Ensure all statements are truthful and accurate to the best of your knowledge.
- Attach a detailed list of the decedent's personal property, along with the proposed distribution of that property.
- The completed affidavit, along with the attached list, must be presented to the holder of the property (such as a bank or other institution holding the decedent’s assets).
- Consult with a legal professional if you have any questions regarding the completion or use of this affidavit.