Sample Affidavit Of Heirship Form

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SAMPLE
MERCED DEL PUEBLO DE ________________________
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.
1

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