Fill and Sign the Affidavit of Decedents Successor Fill Online Printable pdfFiller Form

Estate ofAFFIDAVIT OF DECEDENT'S SUCCESSOR FOR DELIVERY OF CERTAIN ASSETS OWNED BY DECEDENT City, township, or village and county and state Date specify Name PC 598 (9/11) AFFIDAVIT OF DECEDENT'S SUCCESSOR FOR DELIVERY OF CERTAIN ASSETS OWNED BY DECEDENT Signature Name (type or print) Address City, state, zip Date 1. I am decedent's successor as surviving spouse adult child other heir devisee under the will dated . fiduciary or representative of who is an heir or devisee and has a legal incapacity. 2. Decedent died a resident of on . More than 28 days have passed since decedent's death. 3. No real property is included in the estate. 4. Decedent's estate, less liens and encumbrances, does not exceed $15,000 (as adjusted for cost of living as provided in MCL 700.1210). 5. An application/petition for the appointment of a personal representative is not pending or has not been granted in any jurisd iction. A petition for assignment of an estate not exceeding $15,000 (as adjusted for cost of living) has not been filed with a court. 6. I am entitled to payment or delivery of the following property: . 7. The name and address of each other person entitled to a share of the property and his/her proportion is as follows: NAME ADDRESS RELATIONSHIPSHARE % 8. A copy of the death certificate is attached. Subscribed and sworn to before me on , My commission expires: Signature: Notary public, NOTICE: A false statement on this affidavit may subject the person swearing to the statement to prosecution for perjury. MCL 700.3983 Approved, SCAO County and state or other jurisdiction where acting County and state or other jurisdiction where commissioned