Fillable Form Claim Heirshiptable English (California)

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Form Claim Heirshiptable English (California)

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TABLE OF HEIRSHIP
DS/gk
Rev. 3/07/2018
For a tutorial on completing this form, visit https://sco.ca.gov/upd_form_claim.html
Deceased Owner Name:
Deceased Date:
LIST ALL KNOWN RELATIVES
Enter “None” in any section for which there is no known
relative.
(If you need additional space, attach a second Table of
Heirship
identifying all missing relatives for all appropriate
sections.)
Property ID:
Section 1
Date of
Marriage
Birth
Death
Deceased Owner’s
Spouse(s)
1
2
3
Section 2
Parent’s Name
(FROM SECTION 1)
Birth
Death
Deceased Owner’s
Children
1
2
3
4
5
6
7
8
Section 3
Parent’s Name
(FROM SECTION 2)
Birth
Death
Deceased Owner’s
Grandchildren
1
2
3
4
5
6
7
8
Section 4
FIRST MIDDLE (MAIDEN) LAST
Birth
Death
Deceased
Owner’s Parents
Father:
Mother:
Section 5
FIRST MIDDLE (MAIDEN) LAST
Birth
Death
Deceased Owner’s
Brothers and Sisters
1
2
3
4
5
Section 6
Parent’s Name
(FROM SECTION 5)
Birth
Death
Children of Deceased
Owner’s Brothers
and Sisters
1
2
3
4
I declare under penalty of perjury, under the laws of the State of California, that all statements contained in this Table of Heirship and any
accompanying documents are true and correct, with full knowledge that all statements made in the Table of Heirship are subject to
investigation and that any false or dishonest statement may be grounds for denial of the submitted claim.
PRINTED NAME SIGNATURE
TABLE OF HEIRSHIP
DS/gk
Rev. 3/07/2018
For a tutorial on completing this form, visit https://sco.ca.gov/upd_form_claim.html
INSTRUCTIONS
Deceased Owner Name
Enter the name of the deceased person whose property you are claiming.
Deceased Date
Enter the date the deceased property owner died.
Property ID
Enter the Property ID found on the claim details page printed with your claim form.
To ensure you receive the funds to which you are entitled, enter the requested information for yourself and all of the
deceased property owner’s known relatives, both living and dead. In addition, provide a copy of all pages of the certified
death certificate for all deceased relatives listed in all Sections above your name to whom you are directly related (such as,
your grandmother/grandfather, mother/father, and/or son/daughter).
Section 1
Include in this section all of the deceased property owner’s current or former spouses. Enter
one spouse per line (living or dead). If the deceased owner never married, enter “None.”
Name
Enter the spouse’s first, middle, (maiden name, if applicable) and last name.
Date of Marriage
Enter the spouse’s date of marriage to the deceased property owner.
Date of Birth
Enter the spouse’s date of birth.
Date of Death
If the spouse is deceased, enter the spouse’s date of death.
Section 2
Include in this section all of the deceased property owner’s children. Enter one child per line
(living or dead). If the deceased owner did not have any children, enter “None.”
Name
Enter the child’s first, middle, (maiden name, if applicable) and last name.
Parent’s Name
(FROM SECTION 1)
Enter the first name of the child’s parent, as listed in Section 1.
Date of Birth
Enter the child’s date of birth.
Date of Death
If the child is deceased, enter the child’s date of death.
Section 3
Include in this section all of the deceased property owner’s grandchildren. Enter one grandchild
per line (living or dead). If the deceased owner did not have any grandchildren, enter “None.”
Name
Enter the grandchild’s first, middle, (maiden name, if applicable) and last name.
Parent’s Name
(FROM SECTION 2)
Enter the first name of grandchild’s parent, as listed in Section 2.
Date of Birth
Enter the grandchild’s date of birth.
Date of Death
If the grandchild is deceased, enter the grandchild’s date of death.
Section 4
Include in this section both of the deceased property owner’s parents (living or dead).
Name
Enter the parent’s first, middle, (maiden name, if applicable) and last name.
Date of Birth
Enter the parent’s date of birth.
Date of Death
If the parent is deceased, enter the parent’s date of death.
Section 5
Include in this section all of the deceased property owner’s brothers and sisters. Enter one
brother or sister per line (living or dead). If the deceased owner did not have any brothers or
sisters, enter “None.”
Name
Enter the brother or sister’s first, middle, (maiden name, if applicable) and last name.
Date of Birth
Enter the brother or sister’s date of birth.
Date of Death
If the brother or sister is deceased, enter the brother or sister’s date of death.
Section 6
Include in this section all of the deceased property owner’s nieces and nephews. Enter one
niece or nephew per line (living or dead). If the deceased owner did not have any nieces or
nephews, enter “None.”
Name
Enter the niece or nephew’s first, middle, (maiden name, if applicable) and last name.
Parent’s Name
(FROM SECTION 5)
Enter the first name of the niece or nephew’s parent, as listed in Section 5.
Date of Birth
Enter the niece or nephew’s date of birth.
Date of Death
If the niece or nephew is deceased, enter the niece or nephew’s date of death.
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Form Claim Heirshiptable English (California)

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Completed 27 October 2021

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