Small Estate Affidavit for Digital Asset Access

State of:
County of:

I, , being duly sworn, state as follows:

Decedent Information

Full Name of Decedent:
Date of Death:
Last Known Address:

Affiant Information

Affiant Full Name:
Relationship to Decedent:
Mailing Address:
Email Address:

Description of Digital Assets

Affidavit Statements

  1. The value of the entire estate of the decedent, wherever located, less liens and encumbrances, does not exceed applicable state small estate limits.
  2. At least the required number of days have elapsed since the decedent’s date of death, as required by state law.
  3. No petition for the appointment of a personal representative is pending or has been granted in any jurisdiction.
  4. I am entitled to access the digital assets of the decedent under applicable law.
  5. All statements made in this affidavit are true and correct to the best of my knowledge.
Signature of Affiant
Date

Notary Public

Subscribed and sworn before me on this day:
Notary Public Signature:
My Commission Expires: