Affidavit of Heirship - Template, Sample Form Online Pro · US-law

AFFIDAVIT OF HEIRSHIP

State: ________

County: ________

BEFORE ME, the undersigned authority, on this day personally appeared the affiant named below, who, being by me first duly sworn, upon his or her oath and under penalty of perjury, did depose and state as follows:

§ 1. Affiant’s Identity. My legal name is ________ (“Affiant”), and I am of lawful age and sound mind and am fully competent to make this Affidavit.

§ 2. Affiant’s Residence. My residence address is:

________

§ 3. Date of Birth. My date of birth is ________.

§ 4. Disinterested Status. I am a neutral and disinterested party with respect to the estate of ________ (the “Decedent”). I am not an heir, devisee, legatee, beneficiary, creditor, or claimant of or against the Decedent or the Decedent’s estate, and I stand to gain no benefit from the administration or distribution of the estate.

§ 5. Personal Knowledge. I personally knew the Decedent and have personal knowledge of the facts concerning the Decedent’s family, marital, and testamentary history stated herein. I knew the Decedent from ________ until ________.

§ 6. Relationship to Decedent. My relationship to the Decedent was: ________.

§ 7. Date of Death. The Decedent died on ________.

§ 8. Place of Death. The Decedent died at the following location:

City: ________ — County: ________, State: ________

§ 9. Decedent’s Last Residence. At the time of death, the Decedent resided at:

Street Address & Number: ________

City & State: ________, ________

Zip Code: ________

County: ________

§ 10. Marital History. The Decedent’s marital history was as follows:

________

§ 11. Children. The Decedent’s children (whether natural, adopted, or born out of wedlock, living or deceased, and the descendants of any deceased child) were as follows:

________

§ 12. Grandchildren and Other Descendants. The Decedent’s grandchildren and more remote descendants, if any, were as follows:

________

§ 13. Decedent’s Parents. The Decedent’s parents were as follows:

Name of Mother: ________
Current Address (or state if deceased and date of death):

________

Name of Father: ________
Current Address (or state if deceased and date of death):

________

§ 14. Siblings. The Decedent was survived by the following siblings (giving full name and address of each, and identifying any deceased sibling and his or her descendants):

________

§ 15. Other Heirs. The Decedent was also survived by the following heirs at law (stating full name, relationship to the Decedent, and current address of each):

________

§ 16. Testacy. To my knowledge, the Decedent ________ (state whether the Decedent left a Last Will and Testament). If a Will exists, it has been or will be presented for probate in the following location:

City, State: ________
County: ________

§ 17. Real Property. At the time of death, the Decedent owned the following real property (giving the legal description and street address of each parcel):

________

§ 18. Debts of the Decedent. To my knowledge, the Decedent left the following unpaid debts:

________

§ 19. Proof of Identity. I provided the following form of identification to the Notary Public to establish my identity:

________

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§ 22. Affirmation. I declare under penalty of perjury that the foregoing statements are true and correct, that I am the affiant described above, and that I have made each statement of my own personal knowledge.

Affiant Printed Name: ________

Affiant Signature: _____________________

Date: _________________________

ACKNOWLEDGMENT / JURAT

State: ________

County: ________

Subscribed and sworn to (or affirmed) before me on ________ by ________, who is personally known to me or who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument, and who acknowledged to me that he/she executed the same in his/her authorized capacity, and that by his/her signature on the instrument the person executed the instrument.

WITNESS my hand and official seal.

Seal:

Notary Public Name: ________

Notary Signature: _______________________________

My commission expires: ________