Your Name: Your Address: Your City, State, ZIP: Your Telephone No: Representing Self, Without an Attorney IN THE SUPERIOR COURT OF ARIZONA, In the Matter of the Estate of: ) ) ) ) ) ) Deceased COUNTY Case No. AFFIDAVIT OF SUCCESSION TO REAL PROPERTY Judge/Commissioner STATE OF ARIZONA COUNTY OF ) ) ss ) , being first duly sworn on oath, depose(s) and say(s): 1. Decedent died on in the County of , State of , more than six months prior to the filing of this affidavit, as evidenced by the certified copy of decedent’s death certificate attached to the affidavit. 2. At the time of death, decedent was EITHER domiciled in the county in which this court is located OR was not domiciled in Arizona , but owned an interest in real property located in this county. 08/29/07 afftransrpns.wpd 1 of 3 American LegalNet, Inc. www.FormsWorkflow.com Check either 3(a) or 3(b): 3. (a) The value of all real property in the decedent’s estate located in this state, less liens and encumbrances against such real property as of the date of death, does not exceed seventy-five thousand dollars ($75,000), as determined by EITHER the full cash value of the property as shown on the assessment rolls for the year in which the decedent died OR the unpaid principal balance due as of the date of death of the decedent, in the case of a debt secured by a lien on real property. (b) Affiant is claiming as the surviving spouse dependent child of decedent and the value of all real property in the decedent’s estate, wherever located, less liens and encumbrances against the real property as of the date of death does not exceed the greater of either seventy-five thousand dollars ($75,000) or the total sums permitted as the allowance in lieu of homestead pursuant to A.R.S.§14-2402, exempt property pursuant to §14-2403 and the family allowance pursuant to §14-2404 in effect on the date of decedent’s death as determined by EITHER the full cash value of the property as shown on the assessment rolls for the year in which the decedent died OR the unpaid principal balance due as of the date of death of the decedent, in the case of a debt secured by a lien on real property. 4. The legal description of the real property is: 5. Decedent’s interest in the property is: Check either 6(a) or 6(b): 6. (a) No application or petition for the appointment of a personal representative is pending or has been granted in any jurisdiction. (b) A personal representative has been appointed and EITHER has been discharged OR more than one year has elapsed since a closing statement was filed AND, as of the date of this Affidavit, Fifty Thousand Dollars ($75,000) has not been exceeded. 08/29/07 afftransrpns.wpd 2 of 3 American LegalNet, Inc. www.FormsWorkflow.com 7. Funeral expenses, expenses of last illness and all unsecured debts of the decedent have been paid. 8. No Federal or Arizona estate tax is due on decedent’s estate. 9. The affiant(s) is/are entitled to the real property by reason of (CHECK ONE ONLY): The allowances in lieu of homestead and exempt property (A.R.S. §§14-2402 and 142403). By intestate succession as sole heir or heirs. By devise under a valid Last Will of the decedent, the original of which is attached to this affidavit. By devise under a valid Last Will which was probated in State of , Probate No. a certified copy of which is attached to this affidavit. County, , No person other than the affiant(s) has a right to the interest of decedent in the described real property. The relationship(s) of affiant(s) to the decedent is: The affiant(s) affirm that all statements in the Affidavit are true and material and further acknowledge that any false statements may subject the person or persons to penalties relating to perjury and subornation of perjury. Date Affiant’s Signature Affiant’s Printed Name SUBSCRIBED AND SWORN TO before me on My Commission Expires: Notary Public/Deputy Clerk The original Will or a certified copy of a previously probated Will and a certified copy of the death certificate must be attached to this Affidavit. 08/29/07 afftransrpns.wpd 3 of 3 American LegalNet, Inc. www.FormsWorkflow.com