Affidavit Of Heirship printable pdf download

AFFIDAVIT OF HEIRSHIP

STATE OF ___________________________

DECEDENT ______________________________

COUNTY OF _________________________

DATE __________________________________

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 the decedent left a will that was probated in court or there has

been some other type of court determination.

__________________________________, 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.

How long did you know the Decedent?

[ ] 1 – 3 years

[ ] Whole life

[ ] Other _______________________________________________

How well did you know the Decedent?

[ ] Very well

[ ] Well

[ ] Other _____________________

What was your relationship to the Decedent?

________________________________________

The Decedent’s home was at

______________________________________________________

Decedent died at the age of _______, on __________________, ______, at ______________________

State of __________________________________

Did the Decedent leave a Will?

[ ] Yes

[ ] No

[ ] I do not know

Was there any time during the Decedent’s life when the Decedent was not of sound mind?

[ ] Yes

[ ] No

If Yes, Date(s) ________________________________________________________

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 of the

Executor or Administrator is ______________________________________________.

Are there any debts still owing by the Decedent’s estate?

[ ] Yes [ ] No

If Yes, will the size of the

estate be sufficient in your opinion to pay such debts?

[ ] Yes

[ ] No

At the time of death was the Decedent

[ ] Single

[ ] Married

[ ] Widow

[ ] Widower

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? ___________________________

11.

How many times was the Decedent married?

________________________________________

12.

What was the total number of Decedent’s children, both natural and adopted? _____________

13.

If additional space is needed for listing heirs, please provide information as an attachment.

Affidavit Of Heirship

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