Affidavit Of Heirship Page 2

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Complete the following table with respect to all children of the Decedent, whether living or dead, natural or
adopted.
Name of Child-Natural
Date of Birth
Child’s Other Parent
Present Address or Date of Death
14.
Were any of Decedent’s children adopted? [ ] Yes
[ ] No
If Yes, which ones and when:
Name of Child-
Date of Birth
Child’s Other Parent
Present Address or Date of Death
Adopted
15.
Complete the following table with respect to all children of every deceased child (if any) of the Decedent:
Name of Decedent’s
Children of the
Date of Birth
Present Address or Date of Death
Deceased Child
Deceased Child
16.
If the Decedent was not survived by any children or grandchildren, then give the names and addresses of
Decedent’s father, mother and all brothers and sisters:
Name of Relative
Relationship
Age
Present Address or Date of Death
17.
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 of Relative
Relationship
Age
Present Address or Date of Death
Affiant’s Signature: _________________________________________
Signed this _______ day of _____________________. _______.
Subscribed and sworn to before me this ________ day of _____________________________, ______________
Notary Public Signature: _____________________________________
My commission expires _______/_______/______

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