Fillable Printable Blank Affidavit of Heirship Form
Fillable Printable Blank Affidavit of Heirship Form
Blank Affidavit of Heirship Form
AFFIDAVIT OF HEIRSHIP
1
___________________________
Deceased
PROPERTY INVOLVED:
Lease No. __________________ Owner No. _________________
County ____________________ State _____________________
I, ___________________________, residing at _______________________
_________________________________________________________ being first duly sworn, on oath, deposes and say
that the answers and other statements hereinafter set out are true and correct.
01. How long and how well were you acquainted with decedent? _______________________
______________________________________________________________________________
02. If related to decedent, state in what way? ________
03. When and where did decedent die?
______________________________________________________________________________
04. How old was decedent at time of death? ________
05. As far as you know, was decedent of sound mind at time of death and during his/her entire life? ________
06. Was decedent married or single at time of death? ________
If married, give name of surviving husband or wife: _________________
07. Is such wife or husband living? ________ If living, give address:
_________________________________________________________________
08. How many times was decedent married? ________ If married more than once, give names of prior spouses,
indicating whether marriage was terminated by death or divorce, and giving date of termination of marriage and address
of each former spouse now living.
09. Did decedent leave a will? ________
10. Was will probated or other administration had on decedent's estate? ________
If so, give county and state of such proceedings: _____________ , ________________
11. To your knowledge, are there any debts still owing by decedent’s estate? ________
If so, will decedent's personal estate be sufficient, in your opinion, to pay such debts?
______________________________________________________________________________
12. Provide the information called for in the following table with reference to all children, whether living or dead,
born to decedent, designate adopted child or children:
Name of Child’s Other
Parent
Name of Child
Birth
Date
Address
Living or
Deceased
If deceased, Give
Date
Name of Former Spouse
Marriage Terminated By
Death Or Divorce
Date of Termination
Address If Living
AFFIDAVIT OF HEIRSHIP
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13. Provide information called for in the following table concerning descendents of any deceased child (whether
natural, or adopted). If no descendents, so state.
Name Of Deceased Child
Descendents
Birth
Date
Address
Living Or
Deceased
If Deceased, Give
Date
14. If decedent left no surviving spouse or child or descendents of a child, then list names of decedent’s parents and
brothers and/or sisters and give information called for in the following tables. If half brother or sister, state whether
maternal or paternal.
Name
Age
Address
Living Or
Deceased
If Deceased,
Give Date
Father
Mother
Brother(s)
Sister(s)
15. Descendents of deceased brother(s) and/or sister(s). If none, so state.
Name Of Deceased Brother(s) Or
Sister(s)
Descendents
Age
Address
Living Or
Deceased
If Deceased
Give Date
16. If decedent left no children or their descendents, father or mother, brother(s) and/or sister(s), or their
descendents, then give the information called for in the following tables.
Name
Age
Address
Living or
Deceased
If Deceased Give
Date
Paternal Grandfather
AFFIDAVIT OF HEIRSHIP
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Paternal Grandmother
Maternal Grandfather
Maternal Grandmother
Name
Uncle Or
Aunt
Age
Paternal Or
Maternal
Address
Living Or
Deceased
If Deceased,
Give Date
Name Of Deceased
Uncle Or Aunt
Descendents
Age
Address
Living Or
Deceased
If Deceased,
Give Date
____________________________________________________________
(SIGNATURE)
SUBSCRIBED AND SWORN TO BEFORE ME THIS_____________DAY
OF__________________,20____
______________________________________________
(NOTARY PUBLIC)
MY COMMISSION EXPIRES
______________________________________________________
