Affidavit Of Heirship
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5AFFIDAVIT OF HEIRSHIP
As to ______________________________________
(Name of Deceased)
Do not complete this form if the decedent left a will that was probated in court or if there has been a court administration of decedent’s estate.
I, ________________________________________________ (affiant) being of lawful age, being first duly sworn, upon oath deposes and says:
That I was personally well acquainted with the above named decedent, during his/her lifetime, having known him (or her) for _________ years,
and that affiant bears the following relationship to said decedent, to‐wit: __________________________________________________________________
1.
Decedent died on:
.
Decedent’s place of death:
CITY
STATE
COUNTY
At the time of decedent’s death,
decedent’s residence was:
CITY
STATE
COUNTY
2.
Provide the following information for the decedent’s marital history:
(If never married, please state that below.)
NAME OF SPOUSE
DATE OF
DATE OF
DATE OF SPOUSE’S
MARRIAGE
DIVORCE
DEATH
3.
Did Decedent leave a will? Yes / No
If yes, was Decedent’s will probated? Yes / No
If yes, what County & State _____________________________________
4.
Provide the following information for the deceased’s natural born and adopted children:
(If there are none, please state “none" below. If additional space is needed, please provide information as an attachment.
NAME OF CHILD/
DATE OF
NAME OF CHILD’S
DATE OF
CURRENT ADDRESS
BIRTH
OTHER PARENT
CHILD’S DEATH
Name of Child:
Address:
Name of Child:
Address:
Name of Child:
Address:
Name of Child:
Address:
Name of Child:
Address:
Name of Child:
Address:
Name of Child:
Address:
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