Vermont Small Estate Affidavit
This document serves as a sworn statement under the Vermont Small Estate Act, particularly under Title 14, Section 1902, allowing for the expedited distribution of estates that qualify as "small estates" under Vermont law. This template is specifically designed for the State of Vermont and is tailored to comply with its unique requirements.
Decedent Information
Full Name of Decedent: _________________________________________
Date of Death: _______________________
County of Domicile at Time of Death: ___________________________
Did the decedent have a Will? (Yes/No): _____________________________
Affiant Information
Full Name of Affiant (Person Filing): ___________________________________
Relationship to Decedent: ____________________________________________
Mailing Address: _____________________________________________________
Phone Number: _______________________________________________________
Email Address: _______________________________________________________
Asset Information
List all assets believed to form part of the decedent's estate (attach additional sheets if necessary):
- Bank Accounts: _________________________________________
- Real Estate (Location & Description): _____________________
- Vehicles (Make, Model, Year): ____________________________
- Other Personal Property: _________________________________
Debts and Liabilities
List all known debts and liabilities of the decedent (attach additional sheets if necessary):
- Mortgages: _______________________________________________
- Credit Cards: _____________________________________________
- Medical Bills: _____________________________________________
- Other: ___________________________________________________
Declaration
I, __________________________, under penalties of perjury, declare that I have examined this document, and to the best of my knowledge and belief, it is true, correct, and complete. By signing below, I affirm that the estate qualifies as a small estate under Vermont law and that I am entitled to receive property from the decedent's estate.
Signature of Affiant: ___________________________ Date: ________________
Notarization (if required)
This section to be completed by a Notary Public:
On this day, ______________, in the year ____________, before me, the undersigned notary public, personally appeared _____________________________, known to me (or satisfactorily proven) to be the person whose name is subscribed to the above affidavit and acknowledged that they executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
Notary Public: ___________________________________
My Commission Expires: ___________________________<‘br>