Fill and Sign the Hawaii Affidavit of Surviving Spouse or Joint Survivor Form

© 2016 - U.S. Legal Forms, Inc. HAWAII AFFIDAVIT OF SURVIVING SPOUSE OR JOINT SURVIVOR Control Number: HI-AFFJI- 001 I. TIPS ON COMPLETING THE FORMS The form(s) in this packet may contain “form fields” created using Microsoft Word or Adobe Acrobat (“.pdf” format). “Form fields” facilitate completion of the forms using your comput er. They do not limit your ability to print the form “in blank” and complete with a ty pewriter or by hand. It is also helpful to be able to see the location of the form fields. Go to the View menu, click on Toolbars, and then select Forms. This will open the Forms toolbar. Look for the button on t he Forms toolbar that resembles a shaded letter “a”. Click this button and t he form fields will be visible. By clicking on the appropriate form field, you will be able to enter the needed informat ion. In some instances, the form field and the line will disappear after information is entered. In other cases, it will not. The form was created to function in this manner. II. DISCLAIMER These materials were developed by U.S. Legal Forms, Inc. based upon statutes and forms for the State of Hawaii. All information and Forms are subject to this Disclaimer: All forms in this package are provided without any warranty, express or implied, as to their legal effect and completeness. Please use at your own risk. If you have a serious legal problem, we suggest that you consult an attorney in your state. U.S. Legal Forms, Inc. does not provide legal advice. The products offered by U.S. Legal Forms (USLF ) are not a substitute for the advice of an attorney. THESE MATERIALS ARE PROVIDED “AS IS” WITHOUT ANY EXPRESS O R IMPLIED WARRANTY OF ANY KIND INCLUDING WARRANTIES OF MERCHANTABILITY, NONINFRINGEMENT OF INTELLECTUAL PROPERTY, OR FITNESS FOR ANY PARTICULAR PURPOSE. IN NO EVENT SHALL U.S. LEGAL FORMS, INC. OR ITS AGENTS OR OFFICERS BE LIABLE FOR ANY DAMAGES WHATSOEVER (INC LUDING WITHOUT LIMITATION DAMAGES FOR LOSS OR PROFITS, BUSINESS INTERRUP TION, LOSS OF INFORMATION) ARISING OUT OF THE USE OF OR INABILITY TO U SE THE MATERIALS, EVEN IF U.S. LEGAL FORMS, INC. HAS BEEN ADVIS ED OF THE POSSIBILITY OF SUCH DAMAGES. Affidavit of Surviving Spouse of Joint Survivor Page 1 of 2 LAND COURT SYSTEM REGULAR SYSTEM ____________________________________________________________________________ Return by: MAIL ( ) PICKUP ( ) TO: TMK No. THIS DOCUMENT CONTAINS PAGES Subdivision File No. AFFIDAVIT OF SURVIVING SPOUSE OR JOINT SURVIVOR PARTIES TO DOCUMENT: SURVIVOR: DECEDENT: Name: Name: Mailing Address: Mailing Address: State of Hawaii, County of , being first duly sworn, deposes and says as follows: 1. That and , Affidavit of Surviving Spouse of Joint Survivor Page 2 of 2 are joint owners of real estate under a duly recorded joint tenancy deed. The original deed is recorded as Document No. ______________________, in the public records of the Hawaii Bureau of C onveyances. 2. That died on . (See certified copy of death certificate attached hereto as Exhibit A.) 3. That by the death of , the following survivor, , is the fee simple owner of the described real estate (Legal Description Attached as Exhibit B), and requests that this fact be so indicated on the land and tax records of County, Hawaii. (Signature) Print or Type Name State of Hawaii, County of On this ______ day of __________________, 20______, before me, ________________________, personally appeared ______________________________, to me known to be the person(s) (or proved to me on the basis of satisfactory evidence) described in and who executed the foregoing instrument, and acknowledged that he executed the same as his free act and deed. WITNESS my hand and official seal. (SEAL) Notary Public My commission expires: Type or Print Name Affidavit of Surviving Spouse of Joint Survivor Exhibit A Exhibit A Affidavit of Surviving Spouse of Joint Survivor Exhibit B Exhibit B Survivor: Decedent: Legal Description: