Affidavit Of Heirship

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This instrument was prepared by:
___________________________________ [name]
___________________________________ [street or postal address]
___________________________________ [city, state, zip code]
G
(
):
________________________________________________________ [names]
RANTEE
S
S
:
________________________________________________________
END TAX NOTICES TO
[postal address, city, state, zip code]
:
_______________________
MAP PARCEL NUMBER
AFFIDAVIT OF HEIRSHIP
Tennessee Code Annotated § 30-2-712.
STATE OF TENNESSEE
COUNTY OF ___________________
The undersigned, being duly sworn, deposes and says:
1. My full name is __________________________________________. I will refer to myself
in this Affidavit as the Affiant.
2. I reside at _________________________________________________________. [street
address, city, state, zip code]
3. I have personal knowledge of the matters stated in this Affidavit.
4.
On ____________________ [date of death], ____________________________ [full name
of decedent] died at _______________________________ [place of death]. I will refer to
this person as the Decedent.
5. The real property to which this Affidavit applies is located at ________________
________________________________________ [address] in _______________ County,
Tennessee, more fully described as: [complete legal description]______________________
_________________________________________________________________________
_________________________________________________________________________
For prior title, see Book _____ [number], Page _______ [number] in the Register’s Office of
_____________ County, Tennessee.
6. At the time of the Decedent’s death, the Decedent resided at _________________________.
[street address, city, state, zip code]
7. The estate of the Decedent ….. [select one]
 Was not administered in a proceeding supervised by a court.
 Was administered in a proceeding supervised by a court in ______________________
[county and state] in the __________________ [court] in case no. __________________.

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