Fillable Pbse12fz AFFIDAVIT for TRANSFER of TITLE to REAL PROPERTY ; PBSE12f

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Pbse12fz AFFIDAVIT for TRANSFER of TITLE to REAL PROPERTY ; PBSE12f

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Person Filing:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
Lawyer’s Bar Number:
Licensed Fiduciary Number: _____________________________________
Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent
SUPERIOR COURT OF ARIZONA
IN MARICOPA COUNTY
In the Matter of the Estate of: Case Number:
AFFIDAVIT for TRANSFER of
TITLE to REAL PROPERTY
an Adult a Minor, deceased
STATE OF ARIZONA )
COUNTY OF MARICOPA ) ss.
By signing this affidavit, I we swear or affirm under penalty of perjury that its contents are
true and correct.
1. INFORMATION ABOUT PERSON WHO DIED (the deceased).
The deceased,
, died on
(name)
(date)
2. PLACE OF DEATH. (Check one box)
At the time of death, the person who died was living in Maricopa County in Arizona, OR
At the time of death, the person who died was not living in Maricopa County, but was living at:
(city and state) and owned real property located in Maricopa County in Arizona.
3. RELATIONSHIP. This is my our relationship to the person who died: (explain)
FOR CLERK’S USE ONLY
© Superior Court of Arizona in Maricopa County PBSE12f - 050115
ALL RIGHTS RESERVED
Page 1 of 5
Case No.
4. DESCRIPTION OF REAL PROPERTY. The legal description as written on the deed of title of the
real property is:
5. INTEREST OF PERSON WHO DIED IN PROPERTY. The interest of the person who died in the
real property is (list how the decedent held title to the property or other interest in the property).
6. VALUE OF ESTATE. The assessed value in the estate of the person who died of all real property
located in this state, including any debt secured by a lien on real property, less liens and encumbrances
against the real property as of the date of the death, does not exceed $100,000.00.
7. SIX MONTH REQUIREMENT. Six months have elapsed since the death, as shown in a certified
copy of the death certificate attached to this affidavit.
8. PERSONAL REPRESENTATIVE. An application or petition for appointment of a personal
representative is not pending or has not been granted in any jurisdiction OR an application has been
granted but the personal representative has been discharged or more than one year has elapsed since a
closing statement has been filed and the $100,000 limit on the value of the property has not been exceeded.
9. FUNERAL EXPENSES. Funeral expenses, expenses of last illness, and all unsecured debts of the
person who died have been paid.
10. REASON WHY I AM WE ARE ENTITLED TO THE PROPERTY. The persons
signing this affidavit are entitled to the real property because (check the boxes that apply):
I am the spouse of the deceased and I am claiming the allowance in lieu of homestead ($18,000)
exempt property ($7,000) and family allowance ($12,000). (A.R.S. §§ 14-2401 through 14-2405)
There is no surviving spouse and I am the dependent or minor child of the person who died. I
am claiming the allowance in lieu of homestead ($18,000) exempt property ($7,000), and
family allowance (reasonable allowance for maintenance of family during administration of estate,
generally up to one year). (A.R.S. 14-2401-03). All other dependent children of my deceased
parent with equal or greater right than I have to the property, have all assigned their entire interests
in the estate to me, which is proven by the copy of the document they signed to this effect that I am
attaching to this affidavit or they have signed this affidavit indicating their interest in the property.
There is no surviving spouse and we are the dependents or minor children of the person who
died. We are claiming the allowance in lieu of homestead ($18,000) exempt property ($7,000), and
family allowance (reasonable allowance for maintenance of family during administration of estate,
generally up to one year). (A.R.S. 14-2401-03).
I am We are named in the will dated of the person who died, the
original of which is attached to this affidavit, or a certified copy of the Will which has been probated
as follows (name of court and case number) .
© Superior Court of Arizona in Maricopa County PBSE12f - 050115
ALL RIGHTS RESERVED
Page 2 of 5
Case No.
The person who died had no will, and I am entitled to the property by law because (check one box)
I am the spouse of the person who died;
I am a child of the person, who died, and there is no surviving spouse, or there is a
surviving spouse but he or she is not my parent and the deceased had separate or
community property;
I am the parent of the person who died, and there is no surviving child, spouse or parent;
I am a brother or sister of the person who died, and there is no surviving spouse, child
or parent.
The person who died had no will, and we are entitled to the property by law because (check one
box)
We are children of the person who died, and there is no surviving spouse, or there is a
surviving spouse but he or she is not our parent and the deceased had separate or
community property;
We are a brother(s) and/or sister(s) of the person who died, and there is no surviving
spouse, child, or parent.
The person died without a will and I am We are the sole heir(s).
The person died without a will and the people with equal or greater right than I have to the
property have assigned their entire interests in the estate to me, which is proven by the copy
of the documents they signed to this effect that I am attaching to this affidavit or have signed
this affidavit indicating their interest in the property.
The person died without a will and the people with equal or greater right than we have to
the property have assigned their entire interests in the estate to all of us. This assignment is
proven by the copy(ies) of the signed documents, which we attached to this affidavit, or have signed
this affidavit indicating their interest in the property.
The person died and left a valid will giving the entire estate to me/us.
The person died and left a valid will, and the people with equal or greater right than I have to the
property assigned their entire interest in the estate to me. This assignment is proven either
by the copy of the signed document attached to this affidavit or I signed this affidavit
indicating their interest in the property.
The person died and left a valid will, and the people with equal or greater right than we have to the
property assigned their entire interest in the estate to us. This assignment is proven by the
copy of the document(s) attached to this affidavit or we have signed this affidavit indicating their
interest in the property.
11. OTHER PERSONS. No other person has a right to the interest of the decedent in the described
property.
12. TAXES. No federal or Arizona estate tax is due on the person who died estate.
© Superior Court of Arizona in Maricopa County PBSE12f - 050115
ALL RIGHTS RESERVED
Page 3 of 5
Case No.
OATH OR AFFIRMATION.
• I certify under penalty of perjury that the contents of this affidavit are true and correct.
___________________________ ________________________ _____________________
Signature of Person Making Affidavit Printed Name of Person Date
STATE OF
COUNTY OF
Subscribed and sworn to or affirmed before me this: by
(date)
.
(notary seal) Deputy Clerk or Notary Public
(If more than 1 beneficiary/transferee, please sign below)
• I certify under penalty of perjury that the contents of this affidavit are true and correct.
___________________________ ________________________ _____________________
Signature of Person Making Affidavit Printed Name of Person Date
STATE OF
COUNTY OF
Subscribed and sworn to or affirmed before me this: by
(date)
.
(notary seal) Deputy Clerk or Notary Public
© Superior Court of Arizona in Maricopa County PBSE12f - 050115
ALL RIGHTS RESERVED
Page 4 of 5
Case No.
• I certify under penalty of perjury that the contents of this affidavit are true and correct.
___________________________ ________________________ _____________________
Signature of Person Making Affidavit Printed Name of Person Date
STATE OF
COUNTY OF
Subscribed and sworn to or affirmed before me this: by
(date)
.
(notary seal) Deputy Clerk or Notary Public
• I certify under penalty of perjury that the contents of this affidavit are true and correct.
___________________________ ________________________ _____________________
Signature of Person Making Affidavit Printed Name of Person Date
STATE OF
COUNTY OF
Subscribed and sworn to or affirmed before me this: by
(date)
.
(notary seal) Deputy Clerk or Notary Public
© Superior Court of Arizona in Maricopa County PBSE12f - 050115
ALL RIGHTS RESERVED
Page 5 of 5
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Pbse12fz AFFIDAVIT for TRANSFER of TITLE to REAL PROPERTY ; PBSE12f

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Completed 27 February 2020

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