Free Connecticut Small Estate Affidavit Form – PC 212 | PDF | WORD

Such affidavit forms are used to list down the entire estate of a deceased person and allocate that estate to the rightful heirs. The form is also known as Affidavit in Lieu of Probate of Will/Administration or PC 212 and can be used only if two conditions are met:

a) decedent had no solely owned real estate

b) the estate does not exceed $40,000

How to Fill this Affidavit Form

  • Begin the affidavit by entering the probate court’s name, in which proceedings are on, along with district number.
  • Enter all legal names and initials under which assets were held by the decedent.
  • Enter the full address of the decedent at the time of his/her death and also the exact date of death.
  • Enter the full legal name, telephone number and address of the petitioner (affiant), followed by the relationship between petitioner and decedent.
  • Select one of four boxes with respect to what the petitioner represents – surviving spouse of decedent, next of kin of decedent, none (mention the interest the petitioner has in the estate of the decedent), or if no petition is pending in any probate court.
  • Did the decedent receive aid from the State of Connecticut? If yes, mention from where.
  • Select whether the decedent left a will or no. If yes, mention the date of the will.
  • Mention details about the decedent’s solely owned vehicles and their values.
  • Then, mention all expenses/claims owed by the decedent. Mention all creditors and amounts (name of person who paid, if already paid). Following that is a list of check boxes with regard to other expenses and claims.
  • After this is a check box which should be checked only if the decedent’s estate was opened as a full estate but is eligible for the small estate procedure under C.G.S. section 45a-273.
  • Mention the date of signature along with the signature of the petitioner.

Once again, the probate court name and district number is required, followed by the name of the decedent and his social security number. These last details will remain unrecorded.

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Connecticut Small Estate Affidavit

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Connecticut Small Estate Affidavit Form PC 212