Note: Use black ink only 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in the decedent's name, date of birth, and date of death in the designated fields. Ensure accuracy as this information is crucial for processing.
  3. Indicate your relationship to the decedent by selecting one of the options provided. This could be as an heir, guardian, or trustee.
  4. Complete the section regarding the total gross value of the decedent’s property, ensuring it does not exceed $50,000.
  5. Answer questions about any benefits received by the decedent or their spouse. If unsure, indicate that you lack information.
  6. List any assets you wish to transfer under §867.03(1g), providing detailed descriptions and legal identifiers where applicable.
  7. Finally, ensure all sections are completed before signing and dating the affidavit at the bottom. Remember to use black ink only.

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