California Proof Of Death And Heirship Template
Download a blank fillable California Proof Of Death And Heirship Template in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete California Proof Of Death And Heirship Template with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1CALIFORNIA PROOF OF DEATH AND HEIRSHIP
STATE
______________
COUNTY
______________
This Affidavit must be completed by a disinterested third-party (Affiant) who will not benefit from the decedent’s estate. Do not
complete this form if either probate or ancillary probate has been conducted in the state where the property is located, or if
there has been some other type of court determination in this state. This Affidavit must be recorded in the county in which the
property to be transferred is located. If any section requires additional space, please attach a separate sheet of
paper.
I, ________________________________________, being of lawful age and duly sworn, state:
1. That the statements hereinafter set forth, including answers to questions, constitute a true, correct,
and complete statement of the family history of the person hereinafter named as “decedent” and of
the estate of such decedent.
2. Name of decedent:
_____________________________________________________________
3. Date of death
__________________ 4. Was decedent married or single?______________
5. If decedent was married one of more times, give the following information (list names in order of
marriage): Not Applicable
DECEASED?
DIVORCED
PLACE OF DEATH OR DIVORCE
(IF YES, DATE)
(IF YES, DATE)
NAME OF SPOUSE
(CITY, COUNTY AND STATE)
_______________________
__________________
_________________
_____________________________
_______________________
__________________
_________________
_____________________________
_______________________
__________________
_________________
_____________________________
6. If decedent had any children by any spouse, give the following information: Not Applicable
NAME OF CHILD
ADDRESS
AGE
CHILD’S MOTHER/FATHER DECEASED?
(other than decedent)
(If yes, date)
________________ ________________________ _____ ____________________ __________
________________ ________________________ _____ ____________________ __________
________________ ________________________ _____ ____________________ __________
________________ ________________________ _____ ____________________ __________
7. If decedent had any children by adoption, give the following information: Not Applicable
NAME OF CHILD
ADDRESS
AGE
DECEASED?
(If yes, date)
___________________ ________________________________
_____
__________
___________________ ________________________________
_____
__________
8. If any of the above named children have died, please list their children, both natural and adopted.
Not Applicable
NAME OF CHILD
ADDRESS
AGE
DECEASED?
(If yes, date)
___________________ ________________________________
_____
__________
___________________ ________________________________
_____
__________
9. If the decedent left no surviving children or children of deceased children, give the following
information: Not Applicable
NAME
ADDRESS
AGE
DECEASED?
(If yes, date)
: ____________________ ________________________________ _____ __________
FATHER
:____________________ ________________________________ _____ __________
MOTHER
BROTHERS/ SISTERS: _________________________ ___________________________ ______ ____________
10. California is a community property state. Please state if such was community or separate
property, or if such was held in life estate.
Community
Separate
Life estate
Not Applicable
Further affiant saith not.
Signed _______________________________________________
Subscribed and sworn to before me this _____ day of ____________________, 20_________
My commission expires:
________________________________
_______________________
Notary public residing at: _____________________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Dhcs 0002 - California Proof Of Citizenship And Identity (farsi) - Health And Human Services Agency
Legal
Form Dhcs 0008 - California Proof Of Citizenship And Identity Requirements (hmong) - Health And Human Services Agency
Legal
Form Dhcs 0008 - California Proof Of Citizenship And Identity Requirements (tagalog) - Health And Human Services Agency
Legal
Form Dhcs 0008 - California Proof Of Citizenship And Identity Requirements (vietnamese) - Health And Human Services Agency
Legal
Form Dhcs 0002 - California Proof Of Citizenship And Identity New Requirements For Medi-cal Beneficiaries Who Are U.s. Citizens Or Nationals (armenian) - Health And Human Services Agency
Legal
Form Dhcs 0002 - California Proof Of Citizenship And Identity New Requirements For Medi-cal Beneficiaries Who Are U.s. Citizens Or Nationals (arabic) - Health And Human Services Agency
Legal
Form Dhcs 0002 - California Proof Of Citizenship And Identity (laotian) - Health And Human Services Agency
Legal
Related Categories
Parent category: Legal