AFFIDAVIT OF HEIRSHIP With Templateshunter

STATE OF _____________________

COUNTY OF ___________________

 _______________________________________________ (“Affiant”), whose address is ___________________________________________ _____________________________________________, being of lawful age and being duly sworn, on oath deposes and says that (s) he was well acquainted with ___________________________________________ (“Decedent”) and that the following answers and statements are based on Affiant’s personal knowledge and are true, correct and complete to the best of Affiant’s knowledge and belief:

SOURCE OF AFFIANT’S KNOWLEDGE: How long did you know Decedent? _____________________________________ What was your relationship to Decedent? _________________________________________________________________________________

DECEDENT’S DEATH: Decedent died at the age of _______ on __________________, ________, in (city) _____________________________, State of ________________.

ADMINISTRATION OF DECEDENT’S ESTATE: Did Decedent leave a Will? ___________________________ If so, has it been probated? _________________, Where? _____________________________________ If no will has been probated, has there been any other administration proceeding to Decedent’s estate?____________________________________ Are there any debts still owed by Decedent’s estate_________ and will the estate be able, in your opinion, to pay them? ___________

DECEDENT’S MARITAL STATUS: Had Decedent ever been married? _____________ If Decedent was ever married, Please fill in the following table for each marriage:

Name of Spouse   Nature of  Termination   Date Marriage    Present Address or     (if applicable, i.e. death or divorce, Terminated (if applicable)  Date of Death     blank if not terminated) 

______________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________



DECEDENT’S CHILDREN: What was the total number of Decedent’s children, both born to Decedent and adopted? _______  Please fill in the following table for all children of Decedent, whether living or dead, born to Decedent or adopted (must list all children regardless if address is known or unknown.  If deceased, list all deceased child’s surviving children.  Can add addendum if necessary to list all names):

Name of Child  Date of Birth        Name of Child’s Other Parent                    Present Address or Date of Death

______________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________



DECEDENT’S OTHER RELATIVES: (needed only if no surviving spouse, children or grandchildren) If Decedent left no surviving spouse, children or grandchildren, please give the names of Decedent’s father, mother, brothers and sisters, or if none, please give the name of any surviving relatives:

Name of Relative   Relationship  Date of Birth  Present Address      ______________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________




SUBSCRIBED AND SWORN TO THIS ________ DAY OF ______________________________, 20________                               __________________________________________________________________               AFFIANT’S SIGNATURE

       __________________________________________________________________        PRINTED NAME  STATE OF _________________________

COUNTY OF _______________________

          This instrument was acknowledged before me on this _______day of _____________, 20       , by _____________________________________ _____________________________.                        ________________________________________________ My Commission Expires:      Notary Public in and for ____________________________ ____________________      County/Parish, State of  ____________________________