Affidavit Of Heirship Form
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2AFFIDAVIT OF HEIRSHIP
DECEDENT:
RE:
STATE OF
( )
DATE:
____________________________________________
( )
PARISH OF
( )
_____________________________________, whose address is ________________________________________, hereinafter
referred to as "Affiant," being of lawful age and being duly sworn, upon oath deposes and says that he (she) was well acquainted
with _____________________________________ hereinafter referred to as "the Decedent," and that the answers and statements
given in the following questionnaire are based upon Affiant's personal knowledge and are true and correct:
£ 1-3 years
£ Whole life
£ Other ___________________________
1.
How long did you know the Decedent?
£ Very well
£ Well
£ Other _______________________________
2.
How well did you know the Decedent?
3.
What was your relationship to the Decedent? _________________________________________________________
4.
Complete the following sentences: The Decedent's home was at ___________________________________________.
Decedent died at the age of _____, on _______________________, 19___, at ________________________________,
State of ______________________________.
£ Yes
£ No
£ I do not know
5.
Did the Decedent leave a will?
6.
Was there any time during the Decedent's life when the Decedent was not of sound mind?
£ Yes £ No
If Yes, Date(s)_________________________________________________________________
7.
Have any proceedings been commenced with respect to the Decedent's estate? ________________________________.
If so, complete the following sentence to the best of your knowledge:
Proceedings were commenced in
_______________________________ County, State of ____________________, and the name and address of the executor or
administrator is ________________________________________________________________________
£ Yes £ No
8.
Are there any debts still owing by the Decedent's estate?
If Yes, will the size of the estate be
sufficient in your opinion to pay such debts? £ Yes £ No
£ Single £ Married £ Divorced £ Widow
£ Widower.
9.
At the time of death was the Decedent
If married,
what was the Decedent's surviving husband's or wife's name?
___________________________________________
10.
If the Decedent was married at the time of death, what is the surviving husband's or wife's present address or, if deceased,
when did such surviving husband or wife die?__________________________________________________
How many times was the Decedent married? £ None
£ Once
£ Twice £ Other ________________________
11.
12.
What was the total number of Decedent's children, both natural and adopted? ________________________________.
Complete the following table with respect to all children of the Decedent, whether living or dead, natural or adopted:
Name of Child
Child's Other
Present Address
(Natural)
Date of Birth
Parent
or Date of Death
£ Yes £ No
13. Were any of Decedent's children adopted?
If Yes, which ones and when.
Name of Child
When
Living or
(Adopted)
Adopted
Deceased
Address
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