The certified copy of the affidavit must state:
         
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                  1.  
                     the name and post office address of the affiant; 
 
 
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                  2.  
                     the authority under which the affiant is filing the simple estate affidavit as provided
                        in Oregon Statute § 114.515, refer to GN 02315.075B;
                      
 
 
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                  3.  
                     that the simple estate affidavit is made under Oregon Statutes §§ 114.505 to 114.560; 
 
 
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                  4.  
                     the decedent’s name, age, domicile, post office address, and last four digits of the
                        Social Security number;
                      
 
 
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                  5.  
                     the date and place of death; 
 
 
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                  6.  
                     a description of the fair market value of all property in the estate, including a
                        legal description of any real property;
                      
 
 
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                  7.  
                     that no application or petition for appointment of a personal representative has been
                        granted or is pending in Oregon and that the state is not currently being administered
                        in Oregon;
                      
 
 
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                  8.  
                     whether the decedent died testate or intestate; 
 
 
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                  9.  
                     a listing of the decedent’s heirs or devisees along with additional details, including
                        their interests in the property and last known address, and that a copy of the will
                        and a copy of the affidavit showing the date of filing will be delivered or mailed
                        to each heir or devisee;
                      
 
 
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                  10.  
                     that reasonable efforts were made to ascertain creditors of the estate, along with
                        details about the claims and creditors;
                      
 
 
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                  11.  
                     the mailing address for the presentment of claims and, if authorized, any electronic
                        mail address or facsimile number for the presentment of claims;
                      
 
 
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                  12.  
                     anticipated administrative expenses and attorney fees, if any; 
 
 
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                  13.  
                     the affiant is not disqualified as acting as an affiant under Oregon Statute § 114.515(2); 
 
 
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                  14.  
                     that a copy of the affidavit showing the date of filing and a copy of the death record
                        will be mailed or delivered to the Department of Human Services or to the Oregon Health
                        Authority;
                      
 
 
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                  15.  
                     whether the decedent was incarcerated in a correctional facility in Oregon at any
                        time in the 15 years before the decedent’s death and, if so, a copy of the affidavit
                        showing the date of filing and a copy of the death certificate will be mailed or delivered
                        to the Department of Corrections;
                      
 
 
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                  16.  
                     undisputed claims against the estate will be paid as provided in Or. Rev. Stat.Oregon
                        Statute § 114.545;
                      
 
 
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                  17.  
                     claims against the estate not listed in the affidavit or in amounts larger than those
                        listed may be barred unless a claim is presented to the affiant within four months
                        of the filing of the affidavit or amended affidavit, or a petition for appointment
                        of a personal representative is appointed within four months; and
                      
 
 
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                  18.  
                     any claim listed in the affidavit that the affiant disputes may be barred unless a
                        petition for summary determination is filed within four months or a personal representative
                        is appointed within four months.
                      
 
 
Or. Stat. §§ 114.525, 114.535(1), (4), 114.555.
         We must review the affidavit to ensure that it is a certified copy and that the individual
            requesting payment of an underpayment meets the requirements in this section.
         
         We must also review the description and fair market value of the property stated in
            the affidavit to ensure that the underpayment would not push the value of the estate’s
            personal property over the $75,000 threshold, which may invalidate the small estate
            process. Refer to GN 02315.025. An SSA underpayment is not excluded when calculating the value of the personal property
            of the estate. Or. Stat. § 114.510. If we cannot determine from the affidavit whether
            the underpayment would push the value of personal property would exceed the threshold,
            we may ask the individual for a general estate inventory.