Louisiana Small Estate Affidavit Template
Pursuant to the Louisiana Revised Statutes (LRS) Title 9: §3412.1, this affidavit allows the legal heirs to collect the small estate of a person who has passed away without the need for formal probate proceedings. This document is typically used when the total value of the decedent's assets does not exceed the statutory limit defined by Louisiana law.
Section 1: Decedent Information
Full Name of Decedent: ______________________________
Date of Death: ______________________________
County of Death: ______________________________
Last Known Address: ______________________________
Section 2: Affiant Information
Full Name of Affiant (Person Filing): ______________________________
Relationship to Decedent: ______________________________
Address: ______________________________
Contact Number: ______________________________
Section 3: Declaration
I, __________ [Affiant’s Name] __________, declare under penalty of perjury under the laws of the State of Louisiana that:
- The total value of the decedent's property subject to this affidavit does not exceed Louisiana's statutory limit.
- At least _30_ days have passed since the death of the decedent.
- No application for appointment of a personal representative is pending or has been granted in any jurisdiction.
- The legal heirs entitled to the decedent's property are as follows:
Legal Heir's Name: ______________________________
Relationship to Decedent: ______________________________
Address: ______________________________
Add more heirs as necessary.
Section 4: Distribution of Property
List all property to be collected or transferred using this affidavit.
Description of Property: ______________________________
Value: ______________________________
Add additional descriptions and values as necessary.
Section 5: Acknowledgment
State of Louisiana,
Parish of ___________________:
The undersigned, a Notary Public in and for said State and Parish, do hereby certify that __________ [Affiant’s Name] __________, known to me to be the person whose name is subscribed to the foregoing instrument, appeared before me this day in person and acknowledged that they signed, sealed, and delivered the said instrument as their free and voluntary act, for the uses and purposes therein set forth.
Given under my hand and official seal, this ___ day of _____________, ________.
______________________________
Notary Public