Contact information: Claimant (the person collecting the property)
Prefix
First name
*
Middle name
Last name
*
Emails
Email Address
*
Type
Upon submission, a copy of this form will be sent to the primary email.
Work
Home
Other
Primary
Default email false
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Addresses
Street address
Country
Australia
Canada
United Kingdom
United States
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Afghanistan
Åland Islands
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Antarctica
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Bosnia and Herzegovina
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Burundi
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Cameroon
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Chad
Chile
China
Christmas Island
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Colombia
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Congo, The Democratic Republic of the
Cook Islands
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Côte d'Ivoire
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Curaçao
Cyprus
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El Salvador
Equatorial Guinea
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Eswatini
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Ghana
Gibraltar
Greece
Greenland
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Guadeloupe
Guam
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Guinea
Guinea-Bissau
Guyana
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Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
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Indonesia
Iran
Iraq
Ireland
Isle of Man
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Italy
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Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
City
State/Region
Alaska
Alabama
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American Samoa
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Colorado
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Texas
United States Minor Outlying Islands
Utah
Virginia
Virgin Islands, U.S.
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Province/Region
Zip/Postal code
Address type
Work
Billing
Home
Other
Primary
Default address false
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Phone numbers
Phone number
Type
Work
Home
Mobile
Fax
Pager
Skype
Other
Primary
Default number false
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Your relationship to the person who died
Surviving spouse
Child
Other relative
Beneficiary named in the will
Other
Please name
Is anyone else entitled to share in this property?
Yes
List each person's name, relationship, and mailing address.
No
Decedent
Decedent's full legal name and any other names used
Date of death
State and county where the decedent lived at the time of death
Did the decedent leave a will?
Yes
No
Has a probate case been opened in any state?
Yes
No
Property
In which state is the property you are collecting located?
California
Nevada
List each asset you are collecting: institution or agency, type
(bank account, vehicle, stock, final paycheck, etc.), and approximate value on the date of death. For accounts, provide all digits.
Estimated total value of all property in the decedent's sole name in that state. Do not include joint accounts, accounts with a named beneficiary, or trust assets.
Under $25,000
$25,000–$150,000
$150,001–$208,850
Over $208,850
Not sure
Did the decedent own real estate in their sole name (house, land, condo, or timeshare)?
Yes, in California
Yes, in Nevada
No
Not sure
Have the decedent's funeral expenses, last-illness expenses, and debts been paid?
Yes
Partially
No
Not sure
Fees
Please select below services
Small Affidavit up to 3 assets $600
Small Affidavit up to 8 assets $1500
Documents and Signing
Upload a certified death certificate, a copy of the will (if any), and a recent statement, title, or letter for each asset listed
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Upload a copy of the will (if any)
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Upload the title of real property (if any)
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Upload statements from bank, brokerage or any other financial institutions
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Upload other personal property
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How will you sign before a notary?
In office (only if you reside in San Jose or Las Vegas office)
Own notary
Request Mobile Notary
Client's Electronic Signature
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Today signing date