Nebraska Small Estate Affidavit
Pursuant to the Nebraska Probate Code, specifically under provisions that govern the collection of personal property by affidavit and summary procedures for small estates, this document allows the settling of estates that do not exceed the monetary thresholds established by state law. This affidavit is intended to simplify the probate process for eligible estates in Nebraska.
Section 1: Decedent Information
Full Legal Name of Decedent: ____________________________________________
Date of Death: ___________________ (MM/DD/YYYY)
County of Residence at Time of Death: _____________________________________
Last Four Digits of Social Security Number (if known/applicable): ____________
Section 2: Affiant Information
Full Legal Name of Affiant: _______________________________________________
Relationship to Decedent: ________________________________________________
Address: ________________________________________________________________
City: __________________________ State: _________ Zip Code: ________________
Telephone Number: _______________________ Email: _________________________
Section 3: Eligibility Criteria
To be eligible to use this affidavit, the following criteria must be met. Please check each statement to confirm:
- The value of the entire personal property estate of the decedent does not exceed the amount prescribed by Nebraska law.
- Thirty days have elapsed since the death of the decedent.
- No application or petition for the appointment of a personal representative is pending or has been granted in any jurisdiction.
- The claiming successor is entitled to payment or delivery of the property upon providing a sworn statement to the holder of the decedent’s property.
Section 4: Description of Property
Please provide a detailed description of the personal property to be collected under this affidavit:
___________________________________________________________________________
___________________________________________________________________________
Section 5: Signatures
I, the undersigned, swear or affirm under penalty of perjury that the information provided in this affidavit is true and correct to the best of my knowledge. I hereby request the property described above be delivered to me, consistent with Nebraska’s small estate procedures.
Affiant’s Signature: _______________________________ Date: ________________
State of Nebraska,
County of __________________________
Subscribed and sworn to (or affirmed) before me on 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 they executed the same for the purposes therein contained.
In Witness Whereof, I hereunto set my hand and official seal.
__________________________________
(SEAL) Notary Public
My Commission Expires: _______________
