Affidavit Of Heirship Form Page 2

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AFFIDAVIT OF HEIRSHIP
14. Complete the following table with respect to all children of every deceased child (if any) of the Decedent:
Name of the
Children of
Date of
Present
Decedent's
the Deceased
Birth
Address or
Deceased Child
Child
Date of Death
15. If the Decedent was not survived by any children or grandchildren, then give below the names and addresses of the Decedent's
father, mother, and all brothers and sisters:
Name of Relative
Relationship
Age
Present Address or Date of Death
16. If the Decedent was not survived by any children, grandchildren, father, mother, brothers or sisters, then give below the names
and addresses of the nearest surviving relatives:
Name
Relationship
Age
Present Address
Additional Remarks:
Affiant's Signature: _______________________________________
Subscribed and sworn to before me this _______ day of _________________________, 20______.
Notary Public Signature: ___________________________________
My commission expires ___________________________, 20______.
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