Fillable AFFIDAVIT OF HEIRSHIP OF Deceased 1. I personally

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AFFIDAVIT OF HEIRSHIP OF Deceased 1. I personally

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AFFIDAVIT OF HEIRSHIP OF
________________________________________________
Deceased
STATE OF _____________________________
COUNTY OF ___________________________
COMES NOW ________________________________________ being duly deposed
and sworn does hereby state under oath as follows:
1. I personally knew decedent and was well acquainted with decedent during the
decedent’s lifetime, and knew decedent for __________ years. My relationship to
the decedent was:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
2. Decedent died at _____________________, _________________________
County, State of __________________ on ________________, 20______.
3. Decedent was ____ years old at the time of death and resided at
_________________________, _____________ County, State of
__________________.
4. I hereby answer the following based on my personal knowledge of the decedent and
they are true and correct to the best of my knowledge:
a. Decedent left a will (yes/no) ______________
b. If yes, the will has been filed with probate (yes/no) _____________.
c. If yes, the will has been probated at ____________________ Court, County
of ________________, State of ___________________.
d. If Decedent did not leave a will have administrative proceedings begun?
(yes/no) ___________
e. If so, the proceedings are located at _______________ Court, County of
________________, State of _____________ and the administrator is
______________________________.
f. Decedent was __________________________
(married/single/divorced/widowed) at the time of death.
g. Decedent’s marital history is as follows:
Name of Spouse
Date of Marriage
Living/
Deceased
Divorced
Date of Death
or Divorce
h. Decedent had the following children (born or adopted):
Name of Child
Date of
Birth
Living/
Deceased
Date of
Death
Spousal
Parent
i. If the Decedent left no children or grandchildren, list the names and
addresses of living parents and siblings and siblings’ children:
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
j. Did the Decedent leave any real property? (yes/no) ________________ If so
where?
______________________________________________________________
______________________________________________________________
______________________________________________________________
k. Decedent left the following debts, including unpaid taxes:
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
_______________________________________________
Affiant’s Signature
_______________________________________________
Affiant’s Address
Subscribed and sworn to before me this __________ day of _______________,
20_______.
__________________________________________________
Notary Public
_________________________________________________
My Commission Expires: __________________
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Completed 16 May 2022

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