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AFFIDAVIT OF DEATH AND HEIRSHIP
DECEDENT:
STATE OF

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REFERENCE:
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COUNTY OF

Section
County, Oklahoma

, whose address is
hereinafter referred to as “Affiant”, being
of lawful age and being first duly sworn, upon oath deposes and says
was acquainted with
that
hereinafter referred to as “Decedent”, and that the
answers and statements given in the following questionnaire are based upon Affiant’s personal knowledge and are true and
correct:
1.

How long did you know the Decedent?

2.

How well did you know the Decedent? Very Well

3.

What was your relationship to the Decedent?

4.

Complete the following sentences: The Decedent’s home was at
. Decedent’s cause of death was
at the age of
, on
at

, State of

Well

Other

, 20
.

,

5.

Was this land occupied as the homestead of the decedent? Yes

No

6.

Did the Decedent leave a Yes
will?

7.

Was there any time during the Decedent’s life when the Decedent was not of sound mind? Yes
No
If yes, date(s)

8.

Have any pro