No. ____________

ESTATE OF

_________________________,

DECEASED	§
§
§
§
§	IN THE PROBATE COURT

OF

_________ COUNTY, TEXAS
Affidavit in Lieu of Inventory, Appraisement and List of Claims

THE STATE OF TEXAS

COUNTY OF ___________

Before me, a notary public, personally appeared ________________________, independent executor of the Estate of ____________________, Deceased, who under oath swore and affirmed as follows:

1.	I am the independent executor of the Estate of ________________, Deceased (the "Estate").

2.	All debts of the Estate, except for secured debts, taxes, and administration expenses, are paid.

3.	All beneficiaries have received a verified, full, and detailed inventory as required by law.

4.	I am filing this affidavit in lieu of inventory, appraisement and list of claims as permitted by Texas law.

__________________________________________

Sworn to and subscribed before me on _________________, 20___, by ________________________.

[SEAL]

__________________________________________
Notary Public, State of Texas