Fillable FAMILY TREE Cross Out Class Children Grandchildren Great (NYS Unified Court System Division of Technology)

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FAMILY TREE Cross Out Class Children Grandchildren Great (NYS Unified Court System Division of Technology)

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BROWSE NYS UNIFIED COURT SYSTEM DIVISION OF TECHNOLOGY (NY) FORMS

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FAMILY TREE
Cross Out Class Children Grandchildren Great Grandchildren
That is Not or or or
Applicable Brothers/Sisters Nieces/Nephews Grandnieces/Grandnephews
________________________
________________________
__________________________ ________________________
___________________________ __________________________
_______________________ __________________________
Decedent __________________________
________________________
_______________________ ___________________________ __________________________ ________________________
Name of Spouse __________________________
__________________________
____Deceased___________
Date
________________________
____Divorced___________ ___________________________ __________________________ ________________________
Date __________________________
__________________________ ________________________
____Never Married ________________________
________________________
__________________________
___________________________ __________________________
__________________________ ________________________
________________________
__________________________
___________________________ __________________________
__________________________ ________________________
________________________
________________________
STATE OF NEW YORK
COUNTY OF
____________________________ being duly sworn, states that the charts contained on this paper are correct.
________________________________________
Sworn to me on _______________________
____________________________________
NOTARY PUBLIC NOTE: Complete reverse side of family tree form also
Form FT-1
Grandparents Aunts and Uncles First Cousins **First Cousins Once Removed
# #
(___)_________________ (___)____________________
________________________ (___)_________________ (___)____________________
(___)_________________ (___)____________________
(___)____________________
(___)_________________ (___)____________________
________________________ (___)_________________ (___)____________________
(___)_________________ (___)____________________
(___)____________________
_____________________ (___)_________________ (___)____________________
Paternal Grandfather ________________________ (___)_________________ (___)____________________
(___)_________________ (___)____________________
_____________________ ________________________ (___)____________________
Paternal Grandmother Father of Decedent
(___)_________________ (___)____________________
________________________ (___)_________________ (___)____________________
(___)_________________ (___)____________________
(___)____________________
(___)_________________ (___)____________________
________________________ (___)_________________ (___)____________________
(___)_________________ (___)____________________
(___)____________________
____________________ (___)_________________ (___)____________________
Maternal Grandfather ________________________ (___)_________________ (___)____________________
(___)_________________ (___)____________________
____________________ ________________________ (___)____________________
Maternal Grandmother Mother of Decedent
STATE OF NEW YORK
COUNTY OF
_______________________________ being duly sworn, states that the charts contained on this paper are correct.
___________________________________________
Sworn to before me on _____________________
________________________________________ **List First Cousins Once Removed by # that corresponds
NOTARY PUBLIC with deceased first cousin.
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FAMILY TREE Cross Out Class Children Grandchildren Great (NYS Unified Court System Division of Technology)

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Completed 24 September 2020

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