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Blank Heirship Affidavit
Blank Heirship Affidavit
__________________________________
RELATIONSHIP TO DECEDENT: __________________________________
DATE AFFIANT MET DECEDENT: __________________________________
BIOGRAPHICAL:
DECEDENT=S FULL NAME: __________________________
DATE OF DEATH: __________________________
(ATTACH DEATH CERTIFICATE)
COUNTY OF DEATH: __________________________
HOW LONG LIVE IN COUNTY PRIOR TO __________________________
DEATH?
DID DECEDENT HAVE A WRITTEN WILL? YES _____ NO _____
(IF YES, ATTACH A COPY OF THE WILL)
WAS WILL FILED FOR RECORD? YES _____ NO _____
WAS WILL ADMITTED TO PROBATE? YES _____ NO _____
IF YES, WHERE? STATE _____ COUNTY ______
MARRIAGES:
FIRST MARRIAGE:
SPOUSE=S NAME: __________________________
DATE OF MARRIAGE: __________________________
Page 1 of 7
PLACE OF MARRIAGE: __________________________
HOW DID MARRIAGE END? DEATH OF DECEDENT? 9
DEATH OF SPOUSE? 9
DIVORCE? 9
STATE ____________
COUNTY ____________
NUMBER OF CHILDREN BORN: __________________________
NAMES OF CHILDREN BORN: __________________________
__________________________
__________________________
__________________________
SECOND MARRIAGE:
SPOUSE=S NAME: __________________________
DATE OF MARRIAGE: __________________________
PLACE OF MARRIAGE __________________________
HOW DID MARRIAGE END? DEATH OF DECEDENT? 9
DEATH OF SPOUSE? 9
DIVORCE? 9
STATE ____________
COUNTY ____________
NUMBER OF CHILDREN BORN: __________________________
NAMES OF CHILDREN BORN: __________________________
__________________________
__________________________
__________________________
NUMBER OF ADDITIONAL MARRIAGES: __________________________
(USE BACK OF PAGE FOR ADDITIONAL MARRIAGES, IF NEEDED)
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CHILDREN:
NAME: ____________________________ BIOLOGICAL 9
DATE OF BIRTH: ___________________ ADOPTED 9
OTHER PARENT: ___________________ STEPCHILD 9
ADDRESS: _________________________ FOSTER CHILD 9
_________________________
STILL LIVING? YES _______ NO ______
IF, DECEASED:
DATE OF DEATH: __________________________
PLACE OF DEATH: __________________________
MARRIED AT TIME OF DEATH? YES _____ NO _____
SPOUSE=S NAME:
CHILDREN BORN TO MARRIAGE? YES _____ NO _____
NAMES OF SURVIVING CHILDREN: __________________________
__________________________
__________________________
__________________________
Page 3 of 7
DATE OF DEATH: __________________________
PLACE OF DEATH: __________________________
MARRIED AT TIME OF DEATH? YES _____ NO _____
SPOUSE=S NAME: __________________________
CHILDREN BORN TO MARRIAGE? YES _____ NO _____
NAMES OF SURVIVING CHILDREN: __________________________
__________________________
__________________________
__________________________
Page 4 of 7
__________________________
NAME: ____________________________ BIOLOGICAL 9
DATE OF BIRTH: ___________________ ADOPTED 9
OTHER PARENT: ___________________ STEPCHILD 9
ADDRESS: _________________________ FOSTER CHILD 9
_________________________
STILL LIVING? YES _______ NO ______
IF, DECEASED:
DATE OF DEATH: __________________________
PLACE OF DEATH: __________________________
MARRIED AT TIME OF DEATH? YES _____ NO _____
SPOUSE=S NAME: __________________________
CHILDREN BORN TO MARRIAGE? YES _____ NO _____
NAMES OF SURVIVING CHILDREN: __________________________
__________________________
__________________________
EXTENDED FAMILY:
Page 5 of 7
MOTHER=S NAME: __________________________
BIOLOGICAL? 9 ADOPTIVE? 9
DATE OF BIRTH: __________________________
DATE OF DEATH: __________________________
SIBLING NAME:
BROTHER 9 SISTER 9
DATE OF BIRTH: __________________________
DATE OF DEATH: __________________________
SIBLING NAME:
BROTHER 9 SISTER 9
DATE OF BIRTH: __________________________
DATE OF DEATH: __________________________
SIBLING NAME:
BROTHER 9 SISTER 9
DATE OF BIRTH: __________________________
DATE OF DEATH: __________________________
SIBLING NAME:
BROTHER 9 SISTER 9
DATE OF BIRTH: __________________________
DATE OF DEATH: __________________________
Page 6 of 7
( ADDITIONAL INFORMATION)
Page 7 of 7