Official Arizona Small Estate Affidavit Form

Arizona Small Estate Affidavit

Pursuant to the Arizona Revised Statutes, Section 14-3971, this document serves to expedite the transfer of estate assets to rightful successors without the need for formal probate proceedings, under specific circumstances.

Section 1: Deceased Information

Full Name of Decedent: ________________________________________

Date of Death: ___________________________

Last Known Address: __________________________________________

County of Domicile at Time of Death: ____________________________

Section 2: Affiant Information

Full Name of Affiant: _________________________________________

Relationship to Decedent: _____________________________________

Address: ____________________________________________________

Telephone Number: _________________________

Section 3: Description of Property

Please describe the decedent's personal property, including but not limited to bank accounts, stocks, and personal effects, subject to collection under this affidavit. Attach additional sheets if necessary.

____________________________________________________________

____________________________________________________________

Section 4: Real Estate (If Applicable)

If the decedent owned real estate that is subject to transfer under this affidavit, please provide a legal description of the property and the assessor's parcel number(s).

Legal Description: ___________________________________________

Assessor's Parcel Number: ____________________________________

Section 5: Heirs

List all known heirs and their relationship to the decedent. Include full names and addresses.

• _________________________________________________________________
• _________________________________________________________________
• _________________________________________________________________

Section 6: Declarations

The undersigned affirms that:

1. The value of all personal property owned by the decedent at the time of death does not exceed $75,000, and at least 30 days have elapsed since the decedent's passing.
2. There is no pending application or petition for the appointment of a personal representative in any jurisdiction.
3. All debts, including funeral and burial expenses, have been paid or provided for.
4. The affiant has given written notice, by personal delivery or by certified mail, to all persons entitled to the property and has furnished a copy of this affidavit to those persons.
5. All information contained in this affidavit is true and accurate to the best of the affiant's knowledge.

Section 7: Signature

The affiant hereby declares under penalty of perjury under the laws of the State of Arizona that the foregoing is true and correct.

Date: ___________________ Signature: _______________________________