Small Estates Affidavit Form (S.c.p.a. Section 1310), Table Of Heirs - New York State Comptroller Page 4
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1
2
3
4
5Table of Heirs
PAGE -2-
DECEASED ___________________________________________
DATE OF DEATH________________________
COMPLETE SECTION IV, V AND VI, ONLY IF THE DECEASED HAD NO CHILDREN
Living
Date of
Name
Address
Y or N
Death
Parents
1.
IV.
of
Deceased
2.
Living
Date of
Spouse
Name
Address
S.S.N.*
Y or N
Death
Name
1.
ALL
Brothers
and
2.
V.
Sisters
of
3.
Deceased
4.
Living
Date of
Parent
Name
Address
S.S.N.*
Y or N
Death
Name
1.
ONLY
2.
Children
of
VI.
3.
Deceased
Brothers
and
4.
Sisters
5.
6.
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