North Carolina Small Estate Affidavit
Under the provisions of the North Carolina General Statutes Section 28A-25-1, this Small Estate Affidavit is suitable for use when the deceased's estate is valued at $20,000 or less ($30,000 if the spouse is the sole heir), and at least 30 days have passed since the death. This document aids in the collection, transfer, or disbursement of the decedent's personal property without formal administration.
Please complete the following information accurately:
Deceased's Full Name: _____________________________________________
Date of Death: ___________________________________________________
County of Death: _________________________________________________
Last Residence Address: ___________________________________________
Affiant(s) Information (Person(s) completing this affidavit)
- Full Name: __________________________________________________________
- Relationship to Decedent: ____________________________________________
- Address: ____________________________________________________________
- Phone Number: _______________________________________________________
Decedent's Personal Property (Please list all known personal property and estimated values. Attach additional sheets if necessary.)
- Bank Accounts: ______________________________________________________
- Vehicles: ___________________________________________________________
- Stocks/Bonds: ________________________________________________________
- Other Personal Property: _____________________________________________
Upon completion, this affidavit must be signed in the presence of a notary public.
State of North Carolina
County of _________________
I, _________________ [Affiant’s Name], swear under penalty of perjury that the information provided in this affidavit is true and correct to the best of my knowledge. I understand that this document, once notarized, authorizes me to act on behalf of the deceased’s estate as stated herein.
____________________________________
Signature of Affiant
____________________________________
Printed Name of Affiant
Subscribed and sworn to (or affirmed) before me this ____ day of ___________, 20__.
____________________________________
Notary Public
My Commission Expires: _______________