Affidavit Of Heirship Form (Page 2 of 2) in pdf

AFFIDAVIT OF HEIRSHIP

In case decedent left no surviving spouse and no children or children of deceased children, give the following

information:

LIVING OR DEAD

NAME

ADDRESS

AGE

(IF DEAD – DATE)

FATHER ____________________ ___________________________________ _______ ____________________

MOTHER____________________ ___________________________________ _______ ____________________

BROTHERS AND/OR SISTERS

LIVING OR DEAD

NAME

ADDRESS

AGE

(IF DEAD – DATE)

___________________________ ___________________________________ _______ ____________________

DESCENDANTS OF DECEASED BROTHER AND/OR SISTERS

NAME

ADDRESS

AGE

CHILD OF

___________________________ ___________________________________ _______ ____________________

State your relationship or acquaintance with decedent and how long and how well you knew the decedent and the

decedent’s family:

_____________________________________________________________________________________________

Further Affiant said not

Signed this _____________ day of _______________________________ , 20_____________.

_________________________________________________________

SIGNATURE OF AFFIANT

STATE OF ___________________________

COUNTY OF _________________________

Sworn to an subscribed to before me on _____________ day of ______________________, 20________________.

by ___________________________________________________________________________________________

_________________________________________________________

NOTARY SIGNATURE

My commission expires: ____________ day of ______________________, 20______________________.

This Affidavit of Heirship must be filed in the County Clerk’s record.

Affidavit Of Heirship Form Page 2