CAUSE NO.ESTATE OF*COUNTY COURT AT LAW*NUMBER OFDECEASED*FORT BEND COUNTY, TEXASSMALL ESTATE AFFIDAVITOn the day or days hereinbelow written, personally appeared the distributees of this Estate and two (2) disinterested witnesses, who, on their oath, swear to the following facts pursuant to Section 137, Texas Probate Code: 1.Decedent died on the day of , in County, without leaving a valid Last Will and Testament; 2.Decedent was a resident of and domiciled in County, Texas at the time of decedent's death; 3.No petition for the appointment of a personal representative is pending or has been granted in decedent's estate and none appears necessary; 4.More than thirty (30) days have elapsed since the death of decedent; 5.The value of the entire assets of the estate of decedent as of the date of death, exclusive of homestead and exempt property, does not exceed $50,000.00; and 6.The assets of decedent's estate and their value are as follows:Asset DescriptionValueSEPARATE PROPERTY TOTAL1American LegalNet, Inc. www.USCourtForms.comCOMMUNITY PROPERTY TOTAL7.The liabilities of decedent's estate are as follows: Liability DescriptionValueTOTAL8.The names and addresses of each of the distributees of decedent's estate, being all of decedent's heirs at law, and the fractional interest of each such heir at law in the estate of decedent are as follows: NAME/ADDRESSRELATIONSHIPFRACTIONAL SHARE1. 2. 3. 2American LegalNet, Inc. www.USCourtForms.com4. 5. 6. 7. 8. 9.The right of the distributees to be entitled thereto, to the extent that the assets, exclusive of homestead and exempt property, exceed the liabilities of decedent's estate, is shown by the following facts regarding the decedent's family history, to wit: (A)On the date of the decedent's death, decedent was: a single person, or married to ( surviving spouse ); (B)Decedent had the following children born to or adopted by decedent during the lifetime of decedent, to wit: ( ) None or ( ) as follows: all surviving children and descendants of the decedent are also surviving children and descendants of the surviving spouse; the following surviving children and descendants of the decedent are NOT also surviving children and descendants of the surviving spouse: ( ) None or ( ) as follows: 3American LegalNet, Inc. www.USCourtForms.com(C)The following children born to or adopted by decedent predeceased the decedent and left children surviving them. Such deceased children of decedent and their surviving children are as follows, to wit: 1. 3. 2. 4. (D)()Decedent was not survived by a spouse or children or grandchildren, but decedent was survived as follows: by both parents, to wit: and OR by one parent, to wit: . The parent not surviving decedent being the (father/mother) of decedent: who died on OR by neither parent; and the following brothers and sisters (including half-brothers and half-sisters who were born to either of decedent's parents, to wit (specify); ( full brothers & full sisters) ( half brothers & half sisters) 4American LegalNet, Inc. www.USCourtForms.comAND/OR decedent was survived by the following nephews and nieces who were the children of a deceased brother or sister. Such deceased brother or sister of decedent and their surviving children are as follows, to wit: 1. 3. 2. 4. AND/OR decedent was not survived by either of his parents nor by brothers or sisters, nor by nephews and nieces, but was survived by the individuals listed on the attached sheet showing the names and relationship to the decedent and decedent's history with respect to such survivors.10.The distributees of this estate understand that this affidavit and any court order approving the same does not serve to transfer title to any real estate owned by decedent or affect the title to same, except that title to a homestead that is the only real property in a decedent's estate may be transferred by this affidavit. Disposition of property under the terms of a Will or other testamentary document is not affected by this affidavit. DISTRIBUTEES:1. 5. 2. 6.3. 7. 4. 8. 5American LegalNet, Inc. www.USCourtForms.comSUBSCRIBED AND SWORN to before me by 1. , a DISTRIBUTEE, on this day of .Notary Public, State of SUBSCRIBED AND SWORN to before me by 2. , a DISTRIBUTEE, on this day of .Notary Public, State of SUBSCRIBED AND SWORN to before me by 3. , a DISTRIBUTEE, on this day of .Notary Public, State of SUBSCRIBED AND SWORN to before me by 4. , a DISTRIBUTEE, on this day of .Notary Public, State of SUBSCRIBED AND SWORN to before me by 5. , a DISTRIBUTEE, on this day of .Notary Public, State of SUBSCRIBED AND SWORN to before me by 6. , a DISTRIBUTEE, on this day of .Notary Public, State of 6American LegalNet, Inc. www.USCourtForms.comSUBSCRIBED AND SWORN to before me by 7. , a DISTRIBUTEE, on this day of .Notary Public, State of SUBSCRIBED AND SWORN to before me by 8. , a DISTRIBUTEE, on this day of .Notary Public, State of DISINTERESTED WITNESSES: 1. 2. SUBSCRIBED AND SWORN to before me by 1. , a DISINTERESTED WITNESS, on this day of .Notary Public, State of SUBSCRIBED AND SWORN to before me by 2. , a DISINTERESTED WITNESS, on this day of .Notary Public, State of 7American LegalNet, Inc. www.USCourtForms.comCAUSE NO.ESTATE OF*COUNTY COURT AT LAW*NUMBEROFDECEASED*FORT BEND COUNTY, TEXASORDER APPROVING SMALL ESTATE AFFIDAVIT On this day the Court considered the Affidavit of the distributees of the estate and the Court finds that the above Affidavit complies with the terms and provisions of the Texas Probate Code, that this Court has jurisdiction and venue, that this estate qualifies under the provisions of the Probate Code as a Small Estate, and that the Affidavit should be approved. It is ORDERED AND DECREED by the Court that the foregoing Affidavit be and the same is hereby APPROVED, and shall forthwith be recorded in the Small Estate Records of this County, and the Clerk of the Court shall issue certified copies thereof to all persons entitled thereto. SIGNED THIS day of , 20JUDGE PRESIDING8American LegalNet, Inc. www.USCourtForms.com
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