IN THE MATTER OF / AFFIDAVIT OF NO PROBATE
Case No: ______
Deceased
Under oath, I state that:
1. died a resident of Washington County, Wisconsin.
2. His/her
a. Post Office address was:
Street Address City, State, Zip Code
b. Date of birth was:
c. Date of death was:
3. Attached to this Affidavit is:
the original Last Will and Testament of the decedent dated:
a Codicil to the Last Will and Testament dated:
4. I am:
One of the heirs of the decedent: spouse son daughter
The person nominated as the personal representative in the Last Will.
5. Said Last Will is being filed with the Probate Court pursuant to Sec. 856.05, Wis. Stats., as there is no need for probate of the same because: (please check any that apply)
All jointly held property in which the decedent had an interest at the time of death is
being transferred pursuant to Wisconsin Statutes.
Decedent owned property subject to administration valued at less than $50,000 which is being transferred by Affidavit as provided under Sec. 867.03, Wis. Stats.
Other probate proceedings are being commenced to dispose of the estate assets.
All of decedent’s assets were held in a living trust/revocable trust.
Other: (explain)
Subscribed and sworn to before meOn ______
______
Notary Public, Wisconsin/Court Official
My Commission expires: ______
Signature
Name Printed or Typed
Date
PR-3003 (Local) Washington County – Affidavit of No Probate Form.DOC (Rev. 8/06/12)