Fill and Sign the Connecticut Small Form

Prepared by U.S. Legal Forms, Inc. Copyright 2016 - U.S. Legal Forms, Inc. STATE OF CONNECTICUT SMALL ESTATE AFFIDAVIT [UNDER $40,000.00] Control Number – CT–ET10 NOTES ON COMPLETING THESE FORMS The form(s) in this packet contain “form fields” created using Microsoft Word. “Form fields” facilitate completion of the forms using your computer. They do not limit you ability to print the form “in blank” and complete with a typewriter or by hand. It is also helpful to be able to see the location of the form fields. Go to the View menu, click on Toolbars, and then select Forms. This will open the forms toolbar. Look for the button on the forms toolbar that resembles a “shaded letter “a”. Click in this button and the form fields will be visible. In order to use the form fields properly, it is necessary to “lock or protect” the document. If you wish to make any changes in the body of the form, it is necessary for you “unlock” or “unprotect” the form. This is done by clicking on “Tools” in the Menu bar and then selecting “unprotect document”. You may then be prompted to enter a password. If so, the password is “uslf”. That is uslf in lower case letters without the quotation marks . It is very important to understand that, once the document is unprotected, any data entered in the form fields will be lost when the document is again protected. If changes are necessary, unlock the document, using the password “uslf” if necessary, and make any changes that you feel are required. Then protect the document once again. After any required changes and re-protecting the document, click on the first form field and enter the required information. You will be able to navigate through the document from form field to form field using your tab key. Tab to a form field and insert your data. Inserting date will result in the default line disappearing. You will have sufficient space to enter any required information. DISCLAIMER These materials were developed by U.S. Legal Forms, Inc. based upon statutes and forms for the State of Connecticut. All Information and Forms are subject to this Disclaimer: All forms in this package are provided without any warranty, express or implied, as to their legal effect and completeness. Please use at your own risk. If you have a serious legal problem we suggest that you consult an attorney. U.S. Legal Forms, Inc. does not provide legal advice. The products offered by U.S. Legal Forms (USLF) are not a substitute for the advice of an attorney. THESE MATERIALS ARE PROVIDED "AS IS" WITHOUT ANY EXPRESS OR IMPLIED WARRANTY OF ANY KIND INCLUDING WARRANTIES OF MERCHANTABILITY, NONINFRINGEMENT OF INTELLECTUAL PROPERTY, OR FITNESS FOR ANY PARTICULAR PURPOSE. IN NO EVENT SHALL U. S. LEGAL FORMS, INC. OR ITS AGENTS OR OFFICERS BE LIABLE FOR ANY DAMAGES WHATSOEVER (INCLUDING, WITHOUT LIMITATION DAMAGES FOR LOSS OF PROFITS, BUSINESS INTERRUPTION, LOSS OF INFORMATION) ARISING OUT OF THE USE OF OR INABILITY TO USE THE MATERIALS, EVEN IF U.S. LEGAL FORMS, INC. HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. AFFIDAVIT IN LILEU OF ADMINISTRATION STATE OF CONNECTICUT COURT OF PROBATE Recorded: ___________________ ___________________ TO: COURT OF PROBATE, DISTRICT OF ___________________ DISTRICT NO. ____________ IN THE MATTER OF (include all names and initials under which any asset was held) SOCIAL SECURITY NUMBER ___________________ ____________________________________ Hereinafter referred to as the decedent. DECEDENT’S RESIDENCE AT TIME OF DEATH (include full address) ____________________________________ DATE OF DEATH ___________________ PETITIONER (Name, address, zip code, and telephone number) ____________________________________ RELATIONSHIP TO DECEDENT (if any) ___________________ THE PETITIONER under oath hereby applies to the court of probate for authorization to sell and/or transfer personal property of the decedent without administration or probate of will and states that: The petitioner is the surviving spouse of said decedent. There is no surviving spouse, and the petitioner is a next of kin of said decedent. There is no surviving spouse or next of kin, or such surviving spouse or next of kin has refused such affidavit, and the petitioner is a suitable person with sufficient interest for the following reason: _______________________________________ No application for settlement of the estate is pending in any court of probate. The decedent died owning no real property, other than survivorship property, if any, in the State of Connecticut. The market value of the personal property listed below does not exceed $40,000. The estimated value of the taxable gross estate is $ ________________________ and the gross amount passing to each class of beneficiaries does does not exceed the exemption for such class. The decedent did did not ever receive aid or care from the State of Connecticut. [If affirmative, check the appropriate box(es)] State of Connecticut Veterans’ Home and Hospital T he decedent left a will dated       , which is not being presented for probate. The decedent left no will. The decedent died owning the following personal property (List specific identifying numbers or information): DESCRIPTION FAIR MARKET VALUE __________________________________________________ ______________________________ __________________________________________________ ______________________________ __________________________________________________ ______________________________ __________________________________________________ ______________________________ __________________________________________________ ______________________________ $ TOTAL ________________________ According to the information and belief of the petitioner, all debts of the decedent and claims against the estate are as follows: NATURE OF CLAIM CLAIMANT AMOUNT (if paid indicate payor) Funeral Expenses ________________________________________ ______________________ __________________ ________________________________________ ______________________ __________________ ________________________________________ ______________________ __________________ Administration Expenses (i.e. court costs and attorney's fees) ________________________________________ ______________________ __________________ ________________________________________ ______________________ __________________ ________________________________________ ______________________ __________________ Debts Due for Last Sickness ________________________________________ ______________________ __________________ ________________________________________ ______________________ __________________ ________________________________________ ______________________ __________________ Other Claims ________________________________________ ______________________ __________________ ________________________________________ ______________________ __________________ ________________________________________ ______________________ __________________ The funeral director has not been paid, and the Court is requested to order payment from the assets listed above by: a) direct transfer or b) sale of assets. The creditors to whom debts are due for last sickness have not been paid, and the Court is requested to order payment from the assets listed above by: a) direct transfer or b) sale of assets. The debts or claims listed above have been paid in the manner prescribed by C.G.S. § 45a-365. (Note: Each payor NOT seeking reimbursement must sign the waiver on Form PC-212A.) Listed assets exceed listed debts and claims, and all heirs-at-law and proposed distributees are listed on Form PC-212A attached hereto. One or more of the children listed on Form PC-212A are not also issue of the surviving spouse. WHEREFORE, the undersigned, in lieu of filing an application for administration or probate of will, petitions the court of probate to issue a decree authorizing the holder of such property or the registrant thereof, including the authority issuing the registration, to transfer the same or pay the amount thereof and/or to sell the same and pay the proceeds thereof to the undersigned or as indicated above. The representations contained herein are made under the penalties of false statement. _____________________________________ Petitioner's Signature ______________________ Print or Type Name SUBSCRIBED AND SWORN TO BEFORE ME ON THE ______ DAY OF __________________ , 20 ______ ________________________________________________ Judge, Ass't Clerk, Notary Public, Comm. Sup. Ct.