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1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the first blank space, confirming your identity as the affiant.
3. In the next section, provide the name of the deceased for whom you are acting as a successor. Include your date of birth and social security number in the designated fields.
4. Fill in your current residential address, ensuring all details are accurate for verification purposes.
5. List all successors in interest, including their names, relationships to the deceased, ages, addresses, and phone numbers. If necessary, attach additional pages for more successors.
6. Confirm that no application for a personal representative is pending by checking the appropriate box or providing a statement.
7. Indicate that all estate taxes and debts have been settled or are barred by limitations.
8. State that the fair market value of property owned by the decedent does not exceed Fifty Thousand Dollars ($50,000.00).
9. Specify that each claiming successor is entitled to payment as outlined in this affidavit.
10. Finally, sign and date the affidavit at the bottom. Ensure a notary public witnesses your signature for validation.

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