Fillable Printable Affidavit of Heirship - Mewbourne
Fillable Printable Affidavit of Heirship - Mewbourne
Affidavit of Heirship - Mewbourne
Affidavit of Heirship
Page 1 of 6
AFFIDAVIT OF HEIRSHIP
_________________________________________________
(Decedent)
STATE OF _________________________
COUNTY/PARISH OF __________________________________
_________________________________________________________, who resides at
____________________________________________________________________________________,
hereinafter referred to as “Affiant,” being of lawful age and being first duly sworn, upon oath deposes and
says:
That Affiant was personally acquainted with ____________________________________, the
above named Decedent, during his/her lifetime, having known him/her for approximately _____ years,
and that Affiant bears the following relationship to said Decedent, to wit: _______________________.
Said Decedent departed this life at ________________________________________ (hospital/facility) in
__________________________________ County/Parish, State of _____________, on or about
________________, being ______ years old at the date of death.
Affiant further states that Affiant was well acquainted with the family and near relatives of said
Decedent, and that the following statements and the answers to the following questions are based upon
personal knowledge of Affiant and are true and correct.
1. Did the Decedent leave a will? __________________
! If so, has the will been admitted to probate? _____________________
! In what County/Parish and State?
_______________________________________________
! When? ______________________
2. Has an administrator or executor been appointed for the estate of the Decedent?
___________________________________________________________________________
! If so, give the county/parish and state in which said administration or probate
proceedings are pending:
____________________________________________________________
! Give name and address of administrator or executor:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
3. On the blank lines below, give the names of all spouses of the Decedent, together with other
information called for:
Affidavit of Heirship
Page 2 of 6
Name of Spouse
Date of
Marriage
Address, or if not living,
date of death
If
divorced,
date of
divorce
4. When was the property of this affidavit acquired by Decedent, and from whom was it
acquired?
______________________________________________________________________________
______________________________________________________________________________
5. Was the property acquired by the Decedent by gift, devise, inheritance or purchase?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
6. On the blank lines below, give the names and places of residence for all children of
Decedent who were living at the time of Decedent's death, together with other information
called for:
Name of Child
Date of
Birth
Address, or if not living,
date of death
Name of
Spouse
Spouse’s Address, or if
not living, date of death
7. Give the names of any deceased children of Decedent, together with other information
called for:
Name of Child
Date of
Birth
Date of
Death
Surviving Spouse
If not
living,
date of
death
Affidavit of Heirship
Page 3 of 6
8. Did the Decedent have any legally adopted children or stepchildren taken into his/her
home?
______________________________________________________________________________
9. If so, write their names, ages and addresses in the blank lines below and indicate as to each
whether adopted or stepchild:
Name Age Address
Adopted or
Stepchild
IF DECEDENT LEFT SURVIVING CHILDREN, QUESTIONS 10 AND 11 NEED NOT BE ANSWERED
10. Give below the names and addresses (together with other information called for) of the
surviving father, mother, brothers and sisters of Decedent:
Name Relationship Age
Address, or if not living,
Date of death
Affidavit of Heirship
Page 4 of 6
11. Give below the names and addresses (together with other information called for) of the
surviving children of any deceased brother or sister of the Decedent:
Name
Date of
Birth
Address, or if not living,
date of death
Names of father and
mother
12. Did the Decedent leave any unpaid debts? _________________
If so, give, as nearly as possible the amount of such debts and whether they have since been
paid:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Affidavit of Heirship
Page 5 of 6
13. State (so far as known to Affiant) whether any inheritance tax is due on the estate of
Decedent or whether any inheritance tax thereon has been paid:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
14. Decedent owned mineral interest(s) in:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Further Affiant saith not.
_____________________________________________
Affiant
STATE OF ____________________
COUNTY/PARISH OF ________________________
Signed and sworn to before me, a Notary Public, this __________ day of ___________________,
20_____ by _____________________________________________.
____________________________________________
Notary Public, State of _____________________________
Affidavit of Heirship
Page 6 of 6
ACKNOWLEDGEMENT
STATE OF ____________________
COUNTY/PARISH OF ________________________
The foregoing instrument was acknowledged before me, a Notary Public, this __________ day of
___________________, 20_____ by _____________________________________________.
____________________________________________
Notary Public, State of _____________________________
NOTE: TEXAS AND NEW MEXICO LAW REQUIRE THIS AFFIDAVIT
TO BE FROM A DISINTERESTED PERSON.
IF ANY HEIRS OF THE DECEDENT HAVE DIED SINCE HIS OR HER
DEATH, A SEPARATE PROOF OF HEIRSHIP WILL BE REQUIRED
FOR EACH HEIR.
