Affidavit of Heirship
Date:
State of:
County of:
I,
being duly sworn, declare upon oath and state as follows:
1. Decedent's Full Name:
2. Date of Death:
3. Place of Death (City, County, State):
4. Residential Address at Time of Death:
5. Relationship of Affiant to Decedent:
6. Heirs at Law:
Name
Relationship
Address
Age
7. Additional Relevant Facts:
Affiant's Signature:
Date:
Notary Public
Signature:
Date:
My commission expires: