Louisiana Small Estate Affidavit Template
This Small Estate Affidavit is designed for use in Louisiana, in accordance with Louisiana Revised Statutes § 44:102. This affidavit is intended for estates where the total value does not exceed $125,000, excluding certain property types. Please fill in the blanks with the appropriate information.
Affidavit of Small Estate
State of Louisiana
Parish of __________
Before me, the undersigned Notary Public, personally came and appeared:
Name of Affiant: ___________________________
Address of Affiant: ___________________________
Phone Number of Affiant: ___________________________
Who, after being duly sworn, deposes and states the following:
- The decedent, Name of Decedent: ___________________________, died on Date of Death: ___________________________.
- The decedent's last known address was Address: ___________________________.
- The total value of the decedent's estate, excluding certain property types, is less than $125,000.
- The following assets are included in the estate:
- Asset 1: ___________________________
- Asset 2: ___________________________
- Asset 3: ___________________________
- Additional assets: ___________________________
All debts and expenses of the decedent have been paid or will be paid from the estate.
As the affiant, I hereby affirm that the statements made herein are true and correct to the best of my knowledge and belief.
Signature of Affiant: ___________________________
Date: ___________________________
Sworn to and subscribed before me this ____ day of __________, 20__.
Notary Public Signature: ___________________________
Notary Public Name: ___________________________
My Commission Expires: ___________________________