Affidavit of Heirship - Deceased

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Affidavit of Heirship - Deceased

STATE OF }
} SS.:
COUNTY OF }

, of lawful age, being first duly sworn, on oath deposes and says:

That affiant was personally and well acquainted with the above named decedent during the latter’s lifetime, having known deceased for years. Decedent died at , County, State of on or about the day of ,, being years of age, and a resident of at the time of death. That the following statements and answers to the following questions are based upon the personal knowledge of affiant and are true and correct:

1. Did decedent leave a will?
   Yes
   No
   If so, has the will been admitted to probate?
   Yes
   No
   
   Give name of County and State in which such proceedings are pending, and name and address of executor. (If decedent left a will, please attach a certified copy of same, together with a copy of the order of court admitting it to probate, and letters testamentary.)
2. If decedent left no will, have administration proceedings been started?
   Yes
   No
   
   
   If so, give the name of the County and State in which said administration proceedings are pending and name and address of administrator.
3. Have ancillary probate proceedings been had on decedent's estate?
   Yes
   No
   
   
   If so, when? where?
4. If no administration proceedings have been started, are there any plans to have the estate administered?
   Yes
   No
5. Did decedent leave any unpaid taxes, including federal estate or state inheritance taxes or other debts?
   Yes
   No
   
   
   If so, give as nearly as possible, the amount of such taxes or other debts, to whom owing, and whether they have since been paid.
6. Was decedent surety on any bond or guarantor of any other person’s indebtedness at time of death?

   Yes

   No

   
   

   If so, give details as to principal debtor, amount, etc.
7. Were there any suits pending or judgments rendered against decedent at time of death?
   Yes
   No
   
   
   If so, state briefly the nature, amount involved and parties.
8. Marital status of decedent at time of death (married, single, divorced, widow, widower)
9. If decedent was ever married, give the following information for each marriage: (List names in order of marriage)

   Name of Spouse	Date of Marriage	Living/Dead	Divorced Date of Death or Divorce	Was there a property settlement:
   				Yes No
   				Yes No
   				Yes No

10. If decedent had any children by any spouse, or adopted any children, give the following information:
    

    Name of Child Date of	Date of Birth	Address	Living/dead	Date of Death	By Which Spouse

11. If a deceased child left descendents, give the following information:

Name of deceased child	Date of Birth	Name of Child	Date of Birth	Address	Living/Dead	Date of Death




Name of deceased child

12. If a decedent left no children or descendents of deceased children, then please furnish the following information:
    a. Give names of parents of decedent:
    

    	Name	Address	Living/Dead	Date of Death
    (Father)
    (Mother)

    
    b. Give names of brothers and sisters of decedent:

    Name	Relation	Address	Living/Dead	Date of Death

    c. Give names of children of deceased brother or sister:

    Name of Child	Child of	Date of Birth	Address	Living/Dead

13. If decedent left no heirs covered by item 12 above, then attach a full and complete affidavit of heirship of said decedent in narrative form.
14. Give location or description of homestead of decedent, as of date of death:
15. As to each tract of land or interest in land owned by the decedent at the time of his death which concerns this company, give the following information which will be used primarily for the purpose of determining whether property was separate or community: (If space provided is insufficient, attach exhibit giving same information as to each tract).

    Description	Date Acquired	From Whom?	How Acquired (gift, purchase, or under a will)	If acquired by Purchase, were funds used those of decedent only or community property funds with spouse

16. Here briefly state facts and circumstances (such as being a relative, a close friends, or attorney or agent for, decedent) which will show basis and source of information given above.

Subscribed and sworn to before me this day of ,
(Notary Public)

SUPPORTING AFFIDAVIT

STATE OF }
SS.
COUNTY OF }

, being of lawful age, being first duly sworn, on oath states: That was personally and well acquainted with during lifetime: that has read the above affidavit by and that the facts stated therein are true and correct.

(Affiant)

Subscribed and sworn to before me this day of ,

My commission expires
(Notary Public)