Affidavit of Heirship – Maymie Ketterman (decedent)
(continued)
10.
If any of the children named in #9 above are deceased, state the name of their
spouse, the names of all their children, (including adopted), and if they left a will:
Name/Address of Spouse and
Date of
Date of
Children of #9 (those shown deceased)
Birth
Death
11.
Complete only if decedent was survived neither by children nor their descendants:
Did decedent=s father or mother survive?
(If Yes, state mother’s and/or father’s name)
Yes
No
What are the names and addresses of his/her brothers and sisters?
If any of the brothers and/or sisters are deceased, give names and addresses of their
children (including adopted) and spouses:
FURTHER AFFIANT SAITH NOT
_________________________________________
Jerry Ben Robertson
STATE OF
}
} ss.
COUNTY OF
}
Subscribed and sworn to before me this
day of
, 20___ .
My Commission expires:
_______________
______________________________
Notary Number:
_______________
Notary Public
Page 2 of 2