Affidavit for Collection of Personal Property
California Probate Code Section 13100
signed state(s) as follows:
_______________________________ died on ___________, 20____, in the County of
_____________________________, State of California.
2. At least 40 days have elapsed since the death of the decedent, as shown in a certified copy of the decedent's
death certificate attached to this affidavit or declaration.
□ No proceeding is now being or has been conducted in California for administration of the decedent's
□ The decedent's personal representative has consented in writing to the payment, transfer, or delivery to
the affiant or declarant of the property described in the affidavit or declaration.
4. The current gross fair market value of the decedent's real and personal property in California, excluding the
property described in Section 13050 of the California Probate Code, does not exceed one hundred sixty-six
thousand two hundred fifty dollars ($166,250).
5. □ An inventory and appraisal of the real property included in the decedent’s estate is attached.
□ There is no real property in the estate.
6. The following property to be transferred, delivered, or paid to the affiant under the provisions of California
Probate Code section 13100:
7. The successor(s) of the decedent, as defined in Probate Code Section 13006 is/are:
8. The und
□ The affiant or declarant is the successor of the decedent (as defined in Section 13006 of the California
Probate Code) to the decedent's interest in the described property.
□ The affiant or declarant is authorized under Section 13051 of the California Probate Code to act on
behalf of the successor of the decedent (as defined in Section 13006 of the California Probate Code) with
respect to the decedent's interest in the described property.
9. No other person has a superior right to the interest of the decedent in the described property.
10. The affi
ant or declarant requests that the described property be paid, delivered, or transferred to the affiant
ant or declarant affirms or declares under penalty of perjury under the laws of the State of California that
the foregoing is true and correct.