Massachusetts Small Estate Affidavit
This Massachusetts Small Estate Affidavit is for use by successors of an estate when the total value of the decedent's personal property does not exceed the threshold amount established under Massachusetts law. This document facilitates the transfer of the decedent's assets to their rightful heirs without the need for formal probate proceedings.
Please be advised: This affidavit should only be used if the decedent's estate qualifies under the Massachusetts Uniform Probate Code, specifically M.G.L. Chapter 190B, Section 3-1201.
Fill in the blanks with the required information to complete the affidavit:
1. Decedent Information:
- Name of Decedent: ____________________________
- Date of Death: ____________________________
- Last Known Address: ____________________________
- County of Domicile: ____________________________
2. Affiant Information:
- Name of Affiant (Person Filing this Affidavit): ____________________________
- Address: ____________________________
- Relationship to Decedent: ____________________________
- Telephone Number: ____________________________
3. Estate Information:
- Total Estimated Value of Personal Property: $____________________________
- Description of Personal Property: ____________________________
I, the undersigned, declare under penalty of perjury that I am entitled to the property of the decedent, that the estate does not exceed the value limit as per Massachusetts law, and that all debts of the decedent have been paid or provided for. I further declare that, to the best of my knowledge and belief, no application or petition for appointment of a personal representative is pending or has been granted in any jurisdiction.
Signature of Affiant: ____________________________
Date: ____________________________
Notary Acknowledgment
State of Massachusetts
County of _____________________
Subscribed and sworn to (or affirmed) before me on this ___ day of ___________, 20__, by ______________________________, who is personally known to me or has provided ________________________ as identification.
Notary Signature: ____________________________
Printed Name: ____________________________
Date: ____________________________
My Commission Expires: ____________________________