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    Affidavit of Heirship 1

    Uploaded by

    Jan Kenrick Sagum

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Affidavit of Heirship 1

    Uploaded by

    Jan Kenrick Sagum
    19 views2 pages

    Copyright

    © © All Rights Reserved

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    DOCX, PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    19 views2 pages

    Affidavit of Heirship 1

    Uploaded by

    Jan Kenrick Sagum

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    State of __________ 

    AFFIDAVIT OF HEIRSHIP

    This affidavit concerns the Heirs of the Estate of __________ (“Decedent”). I, __________, being duly
    sworn, hereby affirm under penalty of perjury, on this ___ day of ___________, 20___, that:

    1. My date of birth is ___________, 20___. I have personal knowledge of the facts herein and am a
    disinterested third party. I am not an heir, successor, executor, nor do I have an interest in heirship of
    any heir, successor, or executor of the Decedent’s estate. 

    2. I knew the Decedent from ___________, 20___ until their death.

    3. The Decedent, __________, died on ___________, 20___. The place of death was __________,
    __________, __________ __________. At the time of death, the Decedent’s legal residence was
    __________, __________, County of __________, State of __________ __________. 

    4. I am familiar with the Decedent’s marital history. It is as follows: (Check one)

    ☐ The Decedent had NEVER been married.

    ☐ The Decedent was married to:


     __________ [Spouse name], from __________ until __________
     __________ [Spouse name], from __________ until __________

    5. The Decedent did not leave behind a last will and testament. 

    6. Below, please find a list of the surviving heirs and their relationships to the Decedent:

     __________ [Name], __________ [Relationship to decedent] of Decendent


     __________ [Name], __________ [Relationship to decedent] of Decendent

    ______________________________
    Signature
    NOTARY ACKNOWLEDGMENT

    State of __________  )
    )     (Seal)
    County of __________  )

    The foregoing instrument was acknowledged before me this _______ day of __________________,
    20_____, by the undersigned, __________, who is personally known to me or satisfactorily proven to me
    to be the person whose name is subscribed to the within instrument.

    _____________________________________
    Signature

    _____________________________________
    Notary Public

    My Commission Expires: ________________

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