AFFIDAVIT FOR COLLECTION OF A SMALL ESTATE Filing fee of $ 103.50 or $138.50 If property value is $15,000 or more and it has been less than a year since the date of death, need to publish. Publication fee is $50 for the Monitor and Record. Add all parties: decedent, affiant, and heirs or devisees Need copy of death certificate with decedent222s SS# & address Need SS# and birthdate of Applicant If no will or will does not a llow PR to serve without bond, n eed corporate surety bond in the amount of personal property rounded up to the next thousand. E-file bond and mail/deliver original. Bond is to include Acknowledgement of Principal, Acknowledgement of Surety and Power of Attorney. If collecting bank account, need copy of b ank statement. May need proof of other assets. If Will, e - file a copy and mail /deliver original will If Will, need Application for Probate of Will The Affidavit should contain the following: Need domicile address of decedent Need date of death of decedent Need statement that estate is $40,000 or less and that 30 days has elapsed since death of decedent Need statement that no application for letters testamentary, letters of administration or refusal of letters is pending or has been granted N eed statement that all unpaid debts, claims or demands against the decedent222s estate and all estate taxes due, if any, on the property transfers involved, have been or will be paid except that any liability by the affiant for the payment of unpaid claims or demands shall be limited to the value of the property received Need statement that decedent left no will or if left a will, list the date of the will and that it has been presented to court within the limitations period under 473.050 Need a stat ement and what makes the heirs or legatees entitled to the property (ie, pursuant to the will or to the laws of descent and distribution of the State of Missouri ) Affiant must be a distributee, personal representative named in will or will need notarized renu nciations & consents from all heirs or legatees Need addresses of all heirs and legatees. If cannot locate an heir or legatee, an affidavit of due and diligent search. Need relationship of heirs to decedent, ie. child, spouse, cousin, niece, nephew ( if cousin, niece or nephew, need a complete explanation of the line of descent (for example: child of C, C was child of B, B was sister of decedent222s mother) Need percentage or fractions heirs are entitled to and birthdate if heir or legatee is a mino r If a spouse is an heir, need a statement on whether they are the parent of all children Need description of property, value and name and address of person in possession of property. Vehicles must have value from NADA/KBB or appraisal. Real Estate must have Assessors appraised value or an appraisal or letter report. If real property, need complete legal description Need to be signed and dated by applicant(s) and attorney. Applicant222s signature must be notarized . Ne ed statement on where you want to publ ish: Daily Record, Monitor or some oth er publication American LegalNet, Inc. www.FormsWorkFlow.com MISSOURI CIRCUIT COURT, TWENTY-SECOND JUDICIAL CIRCUIT PROBATE DIVISION, CITY OF ST. LOUIS AFFIDAVIT FOR COLLECTION OF SMALL ESTATE STATE OF MISSOURI } SS CITY OF ST. LOUIS } In the matter of: No. Come(s) now , being duly sworn on oath and state(s) that , whose domicile and last residence address was Deceased , in the City of St. Louis, State of Missouri Address City State Zip died on the day of , ; that the entire estate, less liens, debts and encumbrances, does not exceed $40,000.00; that no application for letters testamentary or letters of administration or for refusal of letters is pending or has been granted; that all unpaid debts, claims or demands against the decedent222s estate and all estate taxes due, if any, on the property transfers involved, have been or will be paid except that any liability by the affiant for the payment of unpaid claims or demands shall be limited to the value of the property received; and that thirty days have elapsed since the death of decedent. That decedent has left no will. That decedent left a will dated the day of , . Said will was was not presented for probate within the limitation periods specified in Section 473.050. If decedent is survived by a spouse, please indicate if the spouse Is the parent of all children. Is not the parent of all children. Affiant further states that the following are the NAMES, ADDRESSES, and RELATIONSHIPS to the decedent of the persons entitled to the property of the decedent pursuant to the laws of descent and distribution of the State of Missouri, or pursuant to the last will and testament of the decedent: HEIRS/LEGATEES OR DEVISEES: RELATIONSHIP BIRTHDATE NAME RESIDENCE ADDRESS TO DECEDENT % IF MINOR American LegalNet, Inc. www.FormsWorkFlow.com American LegalNet, Inc. www.FormsWorkFlow.com Affiant further states that the following is an itemized description and valuation of the property of the decedent, and the names and addresses of the persons having possession thereof: NAME AND ADDRESS OF DESCRIPTION OF PROPERTY VALUE PERSON IN POSSESSION TOTAL Subscribed and sworn to before me this , day of , . Affiant222s Signature Affiant222s Name (Typed) (Seal) Street Address Notary Public City State Zip Code Notary Commission expires: Telephone Number Attorney222s Signature Publish Notice of Affidavit in: St. Louis City Monitor Attorney222s Name (Typed) 226 MBE # St. Louis Daily Record Street Address Other City State Zip Code Telephone and Fax Number E-mail Address American LegalNet, Inc. www.FormsWorkFlow.com