Free affidavit of death 41Free affidavit of death 41Free affidavit of death 41
Download the document to the computer for easy use
There are more pages to preview,Read on

AFFIDAVIT OF DEATH AND HEIRSHIP
DECEASED:
DATE:
SPECIFIC PROPERTY
DESCRIPTION:
SECTION/TOWNSHIP/RANGE:
COUNTY/STATE:

STATE OF

____________________

COUNTY OF

____________________

)
) Subscribed and Sworn Under Oath

)

I, __________ (first) _____(MI) __________________(last), the affiant (“I” or “my” hereinafter), being of lawful
age, being first duly sworn, upon oath deposes and states:
I was well acquainted with the above named deceased individual (“deceased” hereinafter) for _____ number of
years and the answers and statements given in the following questionnaire are based upon my personal
knowledge, true, and correct. Further, I am not a direct heir of the named deceased individual.
1.

What was your relationship to the deceased? ________________________________

2.

The deceased departed his/her life on __________ (month) ______ (day), _________(year) in
__________________ (county or city), _____________________ (state). He/She was ________ years old.

3.

The deceased owned t