Affidavit Of Heirship Form

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TOWN of Atrisco Grant
MERCED TOWN of Atrisco Grant
MEMBERSHIP APPLICATION & AFFIDAVIT OF HEIRSHIP
1.
Name:
____________________________________
[print or type]
2.
Mailing Address:
____________________________________
3.
Physical Address:
____________________________________
4.
Telephone:
____________________________________
5.
E-mail: (optional)
____________________________________
6.
Legal Description of Property Owned within Land Grant-Merced:
_______________________________________________________
_______________________________________________________
_______________________________________________________
[Attach documents as necessary]
I, ___________________________, after first being duly sworn, under oath,
[print or type name]
depose and state as follows:
1. I hereby declare that I am a descendent of an original grantees(s) by the name(s) of
______________________________, ______________________________of the _____ Land
Grant-Merced, and that I have an interest in the common land of the Land Grant-Merced.
2. I have received my interest in the common land through inheritance, gift or purchase,
as follows and as documented:
_____________________________________________________________________________
[attach documents as needed]
C:\dexform\good_results\data-new\267214.doc
1

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