Indiana Small Estate Affidavit Template
This Small Estate Affidavit is prepared in accordance with the Indiana Code § 29-1-8.5. It allows the heirs of a deceased person to collect certain assets without the need for formal probate proceedings. Use this template to affirm the small estate and facilitate the transfer of assets.
Affidavit for Small Estate
State of Indiana
County of __________
Before me, the undersigned notary public, personally appeared:
Name of Affiant: _______________
Address: ________________________
City, State, Zip: ________________
Who, under penalties for perjury, affirms that the following statements are true:
- The decedent, ____________________, died on _______________.
- The decedent’s last known address was ____________________.
- The value of the decedent's estate does not exceed $50,000, exclusive of liens and encumbrances.
- The following individuals are the only heirs of the decedent:
- Name: ____________________ - Relationship: _______________
- Name: ____________________ - Relationship: _______________
- Name: ____________________ - Relationship: _______________
For the purpose of collecting the personal property of the decedent, I hereby request that the following assets be delivered to me:
- Description of Asset: ____________________
- Description of Asset: ____________________
- Description of Asset: ____________________
By signing this affidavit, I affirm that no other person has a prior claim to the above-described property.
Date: ____________________
Signature of Affiant: ____________________
Notary Public
My commission expires: ______________
Signature: ____________________
Instructions:
- All blanks must be filled in prior to submission.
- This affidavit must be signed in front of a notary public.
- Retain a copy for your records.