Fill and Sign the Oklahoma Small Estate Form

SMALL ESTATE SUCCESSOR AFFIDAVIT [ 58 OS §§393-394] STATE OF       ) ) COUNTY OF       ) I,       , being of legal age and being first duly sworn, depose and say as follows: 1. The decedent,       , died on       , 20       , and at the time of her death, resided in       ,       County, Oklahoma. 2. At the time of her death,       owned the following property in Oklahoma: Description of Item(s) Date of Death Valuation       $             $             $             $             $             $             $             $             $       Thus, the fair market value of the property located in the State of Oklahoma, which is subject to disposition by will or the statutes of intestate succession, at the time       died, is less than $20,000. 3. No application or petition for the appointment of a personal representative is pending, or has been granted in any jurisdiction, including Oklahoma. 4. The names and address and respective shares of the persons entitled to receive the property described above are: Name:       Relationship to Decedent:       Address:       Interest in Estate (%):       Small Estate – Successor Affadat Page 1 of 2 Name:       Relationship to Decedent:       Address:       Interest in Estate (%):       Name:       Relationship to Decedent:       Address:       Interest in Estate (%):       Name:       Relationship to Decedent:       Address:       Interest in Estate (%):       Name:       Relationship to Decedent:       Address:       Interest in Estate (%):       5. All taxes and debts of the decedent have been paid or are otherwise provided for or are barred by the statute of limitations. This affidavit is made pursuant to 58 OS §§393-394. Dated:       Signature of Affiant       Type or Print Name Sworn to before me and subscribed in my presence by the said       on the date aforesaid. Witness my hand and official seal. Signature of Notary Public NOTARY       SEAL Printed Name of Notary Small Estate – Successor Affadat Page 2 of 2       Commission Expiration Date Small Estate – Successor Affadat Page 3 of 2