This Nebraska Small Estate Affidavit is made in accordance with the Nebraska Probate Code, specifically designed to help in the transfer of assets from a deceased individual's estate under certain conditions, without the need for a formal probate process.
Before using this affidavit, please ensure that the total value of the property does not exceed the threshold established by Nebraska law and that the required period has elapsed since the death of the decedent.
State of Nebraska
County of ___________________
Affiant Information
- Full Name: _______________________________
- Address: __________________________________
- City: ___________________ State: NE Zip: __________
- Relation to Deceased: _____________________
- Phone Number: _____________________________
Decedent Information
- Full Name: _______________________________
- Date of Death: ___________________________
- County of Death: _________________________
- Last Address: ____________________________________
Asset Information
Describe the assets belonging to the estate that are to be collected, including the approximate value of each. Ensure that the total does not exceed the current Nebraska threshold for small estates.
- Asset 1: ____________________________________
Approximate Value: _______________
- Asset 2: ____________________________________
Approximate Value: _______________
I, the undersigned affiant, affirm 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 is subject to the laws of Nebraska and that providing false information can result in penalties.
Executed this _____ day of _______________, 20____.
Affiant Signature: _______________________________
Printed Name: ___________________________________
State of Nebraska
County of ___________________
Subscribed and sworn to (or affirmed) before me this ___ day of _______________, 20____, by _______________________________, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he/she executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
Notary Public Signature: ___________________________
Printed Name: ____________________________________
My Commission Expires: ___________________________