Small Estate Affidavit Template

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Updated – 2025 /2026


Disclaimer

The provided document is a generalized example intended solely for informational purposes regarding estate administration procedures. It should not be regarded as legal advice or a substitute for consulting a qualified attorney familiar with probate and estate laws. Regulations and requirements may differ based on jurisdiction, and modifications may be necessary to ensure compliance. Use of this example is at the user’s own risk, and no liability is assumed for any errors, omissions, or consequences resulting from its application without professional review.


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This sample Small Estate Affidavit template is for illustrative purposes only and may vary depending on specific laws and circumstances. Please adapt details accordingly.

Small Estate Affidavit Sample

Parties Involved:

Decedent: Robert Johnson
Address: 789 Oak Street, Springfield, IL 62704

Affiant (Executor/Personal Representative): Mary Johnson
Address: 789 Oak Street, Springfield, IL 62704

Description of the Estate:

The estate of the decedent, consisting of personal property, bank accounts, and other assets located in Illinois, valued under the statutory threshold for small estate affidavits.

Affidavit Statement:

I, Mary Johnson, being duly sworn, state that I am the lawful surviving spouse/child/authorized representative of the decedent, and that the total value of the estate does not exceed the statutory limit for small estate proceedings in Illinois. I affirm that I am entitled to administer the estate under applicable law.

Date: ______________________

________________________
Mary Johnson (Affiant)