Fill and Sign the Iowa under Form

IOWA SMALL ESTATE SMALL ESTATE AFFIDAVIT Control Number IA-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. By clicking on the appropriate form field, you will be able to enter the needed information. In some instances the form field and the line will disappear after information is entered. In other cases it will not. This is appropriate and the way the form is designed to function. IN THE IOWA DISTRICT COURT FOR __________________ COUNTY In Re the Estate of: ) ) __________________ ) Decedent ) ) NO.       ) I, __________________ , being duly sworn according to law on oath, depose and say: 1. I reside at: Street Address/P.O. Box __________________ City: __________________ County: ____________ State: __________________ 2. I am the spouse or the child of the decedent who departed this life on or about the ______ day of ____________ , ______ , a resident of ____________ County (a) without leaving a Will or (b) leaving a will dated the ______ day of ____________ , 20 ______ ; that the entire estate, both real and personal, both probate and non-probate of said decedent does not exceed the sum of one-hundred thousand ($100,000.00) dollars. The approximate amount of personal property and income is __________________ . 3. The name and residence address of the surviving spouse, parent(s) and grandchild(ren): Name Relationship Residence Age (Minors)                                                                                                                         The name and address of the proposed administrator or executor is: Name: __________________ Address: __________________ Street Address: City: State/Zip: __________________ __________________ __________________ Respectfully submitted, Petitioner       Print Name STATE OF IOWA COUNTY OF       Date:       On the above date, before me, a Notary Public, personally appeared: __________________ to me known to be the person named in and who executed the foregoing instrument, and acknowledged that he/she/they executed the same as his/her/their voluntary act and deed. Notary Public Print Name (Seal, if any) My commission expires: