AFFIDAVIT
to comply with California Probate Code §§ 13100-13115
1.The undersigned hereby declare(s):
2.[I/We] make this declaration to induce [holder of property] to transfer to [me/us] the described property pursuant to California Probate Code §§13100-13115.
3.[Name of decedent] died at _________________________, while a resident of the City of
___________________________ , County of ____________________________ , California, on or about ,
____________20_____ , leaving [a/no] will.
4.At least 40 days have elapsed since the death of the decedent, as shown in a certified copy of the decedent’s death certificate attached to this affidavit or declaration.
5.No proceeding is now being or has been conducted in California for administration of the decedent’s estate.
6.The current gross fair market value of the decedent’s real and personal property in California, excluding the property
described in California Probate Code §13050 does not exceed one hundred
7. fifty thousand dollars ($150,000) and includes the following: [Describe the property to be transferred with sufficient detail to be identifiable.]
__________________________________________________________________________________________________
__________________________________________________________________________________________________
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8.The affiant or declarant is the successor of the decedent [as defined in California Probate Code §13006] to the decedent’s interest in the described property.
9.No other person has a superior right to the interest of the decedent in the described property.
10.[My/Our] name(s), address(es), relationship(s) to the decedent and age(s) are as follows: [List]
_______________________________________________________________________________________________
_______________________________________________________________________________________________
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11.The affiant or declarant requests that the described property be paid, delivered, or transferred to the affiant or declarant.
12.[I/We jointly and severally] agree to hold [property holder] free and harmless and indemnify [him/her] against all liability, claims, demands, loss, damages, costs and expense whatsoever that [he/she/it may incur because of the transfer, payment, or delivery to [me/us] of the property.
13. The affiant or declarant affirms or declares under penalty of perjury under the laws of the State of California that the
foregoing is true and correct. |
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Dated: _______________________________ |
Signature: ______________________________ |
Dated: _______________________________ |
Signature: ______________________________ |
Subscribed and sworn to me before this _________ day of __________________________, 20__________
_______________________________________ |
My Commission expires on: _________________ |
Notary Public in and for said County and State |
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AFFIDAVIT
To comply with California Probate Code §§13100-13115
