Mississippi Small Estate Affidavit
Pursuant to the Mississippi Small Estate Act, this affidavit is made for the purpose of collecting the small estate of a deceased individual who was a resident of Mississippi at the time of death. This document shall serve as a sworn statement to collect property when the total value of the estate does not exceed the amount specified by Mississippi law.
Section 1: Decedent Information
Full Name of Decedent: ___________________________
Date of Death: ___________________________ (MM/DD/YYYY)
County of Domicile at Time of Death: ___________________________
Did the Decedent Leave a Will? (Circle one) Yes No
If Yes, has the Will been probated? (Circle one) Yes No
Section 2: Affiant Information
Full Name of Affiant: ___________________________
Relationship to Decedent: ___________________________
Address of Affiant: ___________________________
City: ___________________ State: _____ Zip: __________
Contact Number: ___________________________
Section 3: Estate Information
Total Value of Personal Property: $___________________
List of Known Assets and their estimated values:
- Asset 1: _______________________ Value: $_________
- Asset 2: _______________________ Value: $_________
- Asset 3: _______________________ Value: $_________
- Additional Assets Attached (Circle one): Yes No
Section 4: Declaration and Signature
I, the undersigned, swear or affirm under penalty of perjury that the information provided in this affidavit is true and accurate to the best of my knowledge and belief. I assert that I am legally entitled to collect the property of the decedent and that the estate does not exceed the value thresholds established by Mississippi law. I agree to use the property collected for lawful debts of the decedent and distribute any remainder according to the law.
Signature of Affiant: ___________________________
Date: ___________________________ (MM/DD/YYYY)
Notarization
This document was sworn to (or affirmed) before me on this ___ day of ___________, 20__, by ___________________________ (name of affiant), who is personally known to me or has produced ___________________________ as identification.
Notary Public: ___________________________
My commission expires: ___________________
Instructions:
- Complete all sections of the affidavit with accurate information.
- Ensure the total value of the personal property listed does not exceed the amount specified by Mississippi law for small estates.
- Sign the affidavit in the presence of a notary public.
- Submit the completed affidavit to the appropriate institution or authority as required to collect the decedent's property.
Please note, this form is intended for informational purposes only and may not cover all scenarios or meet all requirements for every individual case. It is important to seek legal advice if there are any uncertainties or complex issues with the estate.