Fillable Printable Affidavit of Heirship - New York

Affidavit of Heirship - New York

AFFIDAVIT OF HEIRSHIP

TITLE CO.:

TITLE NO.:

DATE:

STATE OF

)SS.:

COUNTY OF )

, being duly sworn, depose(s) and say(s):

That (s)he is the of deceased, who acquired title to premises

in follows: described as (the "Premises").

That said died a resident of the County of

State of New York, on the day of , 20 , seized of said premises,

(testate) (intestate, and no proceedings were had in the estate) leaving him/her surviving

as his/her only lawful distributees, the following nam ed persons:

NAME

ADDRESS RELATIONSHIP

That said decedent left him/her surviving no husband or wife, no child or

children, (legitim ate or illegitimate), no adopted child or children, no descendants of any

deceased child or children, no descendants of any deceased ad opted child or children, no

father or mother, no brothers or sisters, no issue of any deceased brothers or sisters, no

grandparents, no uncle, no aunt, and no issue of a deceased uncle or aunt other than those

above named.

That all of the persons above named are of full age, except:

That all of the persons above named are of sound mind, except:

That said deceased in his/her lifetime was a citizen of the United States or a subject of

This affidavit is made to induce to issue its policy of title

insurance covering the above premises knowing that it relies upon the truth hereof.

______________________________

Sworn to before me on ,

___________________________

Notary Public State of New York