New Hampshire Small Estate Affidavit Template
This Small Estate Affidavit is prepared in accordance with New Hampshire RSA 561-A:1. It is intended for use by individuals seeking to settle the estate of a deceased person with a total value of assets not exceeding $25,000, excluding any real estate.
Please fill in the blanks with the appropriate information.
Affidavit of Small Estate
State of New Hampshire
County of ___________________
In the matter of the estate of:
Decedent's Name: ______________________________________
Date of Death: ______________________________________
1. I, the undersigned, hereby declare that I am an interested party in the estate of the above-named decedent.
2. The decedent resided at:
Address: ______________________________________
3. The total value of the decedent's estate, excluding real estate, is as follows:
- Cash: $____________________
- Bank Accounts: $____________________
- Personal Property: $____________________
- Other Assets: $____________________
4. The total value of the estate is: $____________________
5. I affirm that the decedent left no will, or that the will has been probated.
6. I understand that I am responsible for distributing the assets of the estate according to New Hampshire law.
7. I hereby request that the following assets be transferred to me:
- Asset 1: ______________________________________
- Asset 2: ______________________________________
- Asset 3: ______________________________________
8. I declare under penalty of perjury that the foregoing is true and correct.
Affiant's Name: ______________________________________
Affiant's Address: ______________________________________
Affiant's Signature: ________________________________
Date: ______________________________________
Notary Public/Justice of the Peace:
Name: ______________________________________
My Commission Expires: ________________________________