Fill and Sign the Affidavit in Lieu of Inventory Harris County Probate Courts Form

NO. _____________ IN RE: THE ESTATE OF ___________________________, DECEASED IN THE PROBATE COURT NUMBER ____________ (____) OF HARRIS COUNTY, TEXAS SWORN STATEMENT SUPPORTING CLAIM AGAINST ESTATE TO: CLERK OF SAID COURT; and/orTO: INDEPENDENT EXECUTOR OF SAID ESTATE A. I, ______________________________________________, hereafter called "AFFIANT," do solemnly swear that the foregoing and attached claim against the above numbered and styled estate, amounting to the sum of $____________________________, is a just claim, and that all legal offsets, payments and credits known to AFFIANT have been allowed, and that the sum herein claimed is justly due. B. CLAIMANT is: ____________________________________________________CLAIMANT's address is: _____________________________________________ C. ___ 1. This claim is founded on a written instrument or account, a true copy of which is attached as "EXHIBIT A," incorporated herein by reference;or, ______2. This claim is NOT founded on a written instrument or account and the facts upon which the claim is founded are as follows: ____________________________________________________________________________________________________________________________________________________________ ______________________________________________________________________________ D. ____ 1. AFFIANT is the owner and holder of the above claim and has personal knowledge of the facts herein contained; and all statements herein are within my personal knowledge and are true and correct;or,______ 2. The AFFIANT is NOT the owner of said claim, but is a duly authorized officer, agent or representative, to-wit:_____________________________________________________; and I have made diligent inquiry and examination of this claim and I believe the claim is just and that all legal offsets, payments, and credits made known to this AFFIANT have been allowed. E. AFFIANT files this Claim in behalf of the above named CLAIMANT and prays that
Of be assigned and be entitled to my fee. If there is more than one affiant, the name of the first affine shall be entered first in the blank, and the name of each successive affine shall be entered in the column next following the former names. Affine's name affiant's address date of hearing date 1. John 10/10/10 2. John smith 10/10/10 3. David smith 10/10/10 4. David 10/10/10 5. 10/10/10 6. 11/10/10 affiant's name affine's address date of hearing date a no. 3 David smith 09/08/10 b no. 4 david smith 11/05/10 c. The estate is owned by the above named john smith, deceased. Affine's name affiant's address date of hearing date a no. 3 John Doe 01/08/13 b no. 4 john doe 11/11/13 affiant's name affine's address date of hearing date a no. 3 David smith 02/02/13 b no. 4 david smith 11/21/13 affine's name affiant's address date of hearing date a no. 3 David smith 11/24/13 b no. 4 david smith 12/25/14 claim by d. To district court judge: i, d. Of, texas, do hereby state that I read and understand the above written document as well as the order dated 01/15/15 directing it to be filed, and further state that I demand the above written document be admitted, recorded and admitted in my presence with the above written statement being attached and attached to the same herewith. I further state that in my presence is a copy of the written document for which the order was issued. Affiant's name affiant's address date of hearing date a no. Order 1. This court hereby directs the affiant to file in the appropriate district court of Travis County, texas, the sworn statement in opposition and the answer therein and make appearance thereon on or before, at the expiration of the time stated at, at , or in default thereof or on the day fixed by or before the court if.