Fill and Sign the Small Estates Planning California Form

Affidavit for Collection of Personal Property California Probate Code Section 13100 The undersigned state(s) as follows: 1. died on , 20 , in the County of , State of California. 2. At least 40 days have elapsed since the death of the decedent, as s hown in a certified copy of the decedent's death certificate attached to this affidavit or declaration. 3. No proceeding is now being or has been conducted in California fo r administration of the decedent's estate. OR The decedent's personal representative has consented in writing to th e payment, transfer, or delivery to the affiant or declarant of the property described in the affid avit or declaration. 4. The current gross fair market value of the decedent's real and pe rsonal property in California, excluding the property described in Section 13050 of the California Probate Code, does not exceed one hundred fifty thousand dollars ($150,000). 5. An inventory and appraisal of the real property included in the decedent’s estate is attached. There is no real property in the estate. 6. The following property to be transferred, delivered, or paid to the affiant under the provisions of California Probate Code section 13100: 7. The successor(s) of the decedent, as defined in Probate Code Section 13006 is/are: 8. The undersigned The affiant or declarant is the successor of the decedent (as defin ed in Section 13006 of the California Probate Code) to the decedent's interest in the described property . The affiant or declarant is authorized under Section 13051 o f the California Probate Code to act on behalf of the successor of the decedent (as defined in Section 13006 o f the California Probate Code) with respect to the decedent's interest in the described property. 9. No other person has a superior right to the interest of the dec edent in the described property. 10. The affiant or declarant requests that the described property be paid, delivered, or transferred to the affiant or declarant. The affiant or declarant affirms or declares under penalty of per jury under the laws of the State of California that the foregoing is true and correct. Dated: Si gn ed: _________________________________________ ___ ______________________________________ _________________________________________ ACKNOWLEDGMENT State of California County of _________________________) On _________________________ before me, ___________ _______________________________ (insert name and title of the officer) personally appeared _______________________________ _________________________________ who proved to me on the basis of satisfactory evide nce to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledge d to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the p erson(s), or the entity upon behalf of which the person(s) ac ted, executed the instrument. I certify under PENALTY OF PERJURY under the laws o f the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature ___________________________________ (Seal) For recorder’s use A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.