Affidavit For Withdrawal Of Account Or Personal Property Form Page 2

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6.  I, _________________________ am the successor of the decedent (as defined in Section 
    13006 of the California Probate Code) to the described property. 
7.  Check the appropriate statement: 
 
[     ]   The affiant is the successor of the decedent (as defined in Section 13006 of the 
                     California Probate Code) to the decedent’s interest in the described property. 
 
[     ]  The affiant is authorized under Section 13051 of the California Probate Code to 
                      act on behalf of the successor of the decedent (as defined in Section 13006 of 
                      the California Probate Code) with respect to the decedent’s interest in the 
                      described property.” 
8.  No other person has a superior right to the interest of the decedent in the described 
     property. 
9.  The affiant requests that the described property be paid, delivered, or transferred to the 
     affiant. 
I declare under penalty of perjury under the laws of the State of California that the foregoing is 
true and correct. 
 
Date: _________________________  
________________________________ 
 
 
 
 
 
 
AFFIANT’S SIGNATURE 
 
 
 
 
 
 
________________________________ 
 
 
 
 
 
 
AFFIANT’S NAME – TYPE OR PRINT 
Date: _________________________  
________________________________ 
 
 
 
 
 
 
AFFIANT’S SIGNATURE 
 
 
 
 
 
 
________________________________ 
 
 
 
 
 
 
AFFIANT’S NAME – TYPE OR PRINT 
 
(NOTE:  Have all affiant’s signatures notarized) 
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