Fillable Printable Affidavit of Heirship Form - Texas
Fillable Printable Affidavit of Heirship Form - Texas
Affidavit of Heirship Form - Texas
This Af fidavit must be completed by a third disinterested party (Affiant) who will not benefit from the decedent’s est ate. Do not
complete this form if the decedent left a will that was probated in court or there has been some other type of court determina-
tion to the est ate.
Af fidavit of fact s concerning the identity of Heirs for the Estate of:_____________________________________________
Before me, the undersigned authority, on this day personally appeared:________________________________________
(“Af fiant”) who, being first duly sworn, upon his/her oath st ates:
1.My name is:___________________________________________________________________________________.
I live at:_______________________________________________________________________________________
I am personally familiar with the family and marital history of:______________________________________________
(Decedent), and I have personal knowledge of the facts stated in this Affidavit.
2.I knew the decedent from________________until________________Decedent died on______________________.
Decedent’ s place of death:________________________________________________________________________
At the time of decedent’ s death,
CITYSTATECOUNTY
decedent’ s residence was:________________________________________________________________________
CITYSTATECOUNTY
NAME OF SPOUSE
DA TE OFDA TE OFDA TE OF
MARRIAGEDIVORCESPOUSE’S DEATH
3.Provide the following information on the deceased’ s marital history:
(If never married, please state that below.)
NAME OF CHILD/
DATE OFNAME OF CHILD’SDATE OF
CURRENT ADDRESSBIRTHOTHER PARENTCHILD’S DEATH
4.Provide the following information on the deceased’ s natural born and adopted children:
(If there are none, please state that below. If additional space is needed, please provide information as an attachment.)
NAME OF CHILD/
DATE OFNAME OF GRANDCHILD’S
CURRENT ADDRESSBIRTHDECEASED PARENT
5.Provide the following information on the deceased’s grandchildren, born only to the deceased children in Item 4, above:
(If there are none, please state that below.)
DECEASED’SPARENT’S NAME/PARENT’S DATE
PARENTSCURRENT ADDRESSOF DEATH
6.If the decedent never married and did not have any children, provide the following information on the deceased’ s parent s:
MOTHER
FATHER
53-1 11-A
(Rev.4-07/3)
Claim
number:
AFFIDAVIT OF HEIRSHIP
THIS AFFIDAVIT MUST BE FILED
IN THE COUNTY CLERK’S RECORD.
Reported
owner name:
Form 53-1 11-A (Back)(Rev.4-07/3)
NAME OF NIECE OR NEPHEW/
DATE OFNAME OF NIECE OR NEPHEW’S
CURRENT ADDRESSBIRTHDECEASED PARENT
Signed this ____ day of ____________________, ____________.
_____________________________________________________________________________________
(SIGNATURE OF AFFIANT)
State of _________________________
County of _______________________
Sworn to and subscribed to before me on_________________________________________________
(DATE)
by________________________________________________________________________________
(NAME OF AFFIANT)
_____________________________________________________________________________________
(NOTARY SIGNATURE)
(Notary Seal)My commission expires: _____ day of __________________, _______.
THIS AFFIDAVIT MUST BE FILED IN THE COUNTY CLERK’S RECORD.
NAME OF CHILD/
DATE OFBROTHER’S OR SISTER’S
CURRENT ADDRESSBIRTHDATE OF DEA TH
7.Provide the following information on the deceased’ s brothers and/or sisters:
(If there are none, please state that below.)
8.Provide the following information on the deceased’ s nieces and/or nephews born only to the deceased brothers/sisters in
Item 7, above:
(If there are none, please state that below . If additional space is needed, please provide information as an attachment.)
Claim
number:
Reported
owner name:
