Affidavit Of Heirship Form
ADVERTISEMENT
1
2______________________________________________________________________________
ABOVE THIS LINE IS FOR COUNTY RECORDING ONLY ***DO NOT WRITE ABOVE THIS LINE***
AFFIDAVIT OF HEIRSHIP
This Affidavit of Heirship must be filed in the County Clerk’s record.
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 to the estate.
STATE OF _______________________)
) SS:
WELL NAME/LEASE NO:___________________________
COUNTY OF _____________________)
______________________________________________of ______________________County, State of _________,
of lawful age, being first duly sworn, states:
That the statements hereinafter set forth, including answers to questions, constitute a true, correct and complete
statement of the family history of the person hereinafter named as “decedent” and of the Estate of such decedent.
Name of decedent: _____________________________________________________________________________
Date of death: _________________________ Where? (County/State): ____________________________________
Was decedent married or single at time of death: _______________ Did decedent leave a Will: ________________
Has Estate been probated: ____________ Where? County: ______________________ State: __________________
If decedent was married one or more times, give the following information (list names in order of marriage):
LIVING OR DEAD
DIVORCE
PLACE OF DEATH OR DIVORCE
NAME OF SPOUSE
(IF DEAD – DATE)
(DATE)
(COUNTY/STATE)
__________________________
__________________
_____________ ____________________________
If decedent had any children by any spouse, give following information:
PRESENT
SON OR
LIVING OR DEAD
NAME OF CHILD
ADDRESS
AGE
DAUGHTER
(IF DEAD – DATE)
____________________ ____________________________ _____________ ______________ ______________
____________________ ____________________________ _____________ ______________ ______________
____________________ ____________________________ _____________ ______________ ______________
____________________ ____________________________ _____________ ______________ ______________
If decedent had any children by adoption, give the following:
PRESENT
SON OR
LIVING OR DEAD PLACE OF
NAME OF CHILD
ADDRESS
AGE
DAUGHTER
(IF DEAD–DATE) ADOPTION
____________________ ______________ _____________ _____________ ______________ ______________
____________________ ______________ _____________ _____________ ______________ ______________
____________________ ______________ _____________ _____________ ______________ ______________
____________________ ______________ _____________ _____________ ______________ ______________
The above named children who have died had only the following children (natural or adopted) and other heirs:
NAME OF
NAMES OF SPOUSE
LIVING OR DEAD
DECEASED CHILD
AND CHILDREN
ADDRESS
AGE
(IF DEAD – DATE)
____________________ ____________________________ _____________________ ______ _______________
____________________ ____________________________ _____________________ ______ _______________
____________________ ____________________________ _____________________ ______ _______________
____________________ ____________________________ _____________________ ______ _______________
1
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal