Fill and Sign the Heirship Affidavit Descent Mississippi Form

Heirship Affidavit Prepared by:                   If recorded, return to:                   ) ) ) ) ) ) ) ) ) ) -------------------above this line for official use only----------------- HEIRSHIP AFFIDAVIT (Heirship of       Deceased) STATE OF MISSISSIPPI COUNTY OF       ) ) BEFORE ME, the undersigned authority, on this day personally appeared       , ("AFFIANT") who is personally known to me (or, if not being personally known to me, did confirm his/her identity presenting       as identification (i.e. drivers license #), and appearing to be fully competent and of sufficient age, upon being duly sworn, stated upon Affiant's oath the following: 1. My name is       (insert name of affiant), and I live at       (insert address of affiant's residence). I am personally familiar with the family and marital history of       ("Decedent") (insert name of decedent), and I have personal knowledge of the facts stated in this affidavit. 2. I knew decedent from       (insert date) until       (insert date). I was personally well acquainted with the named decedent during his/her lifetime. 3. The Decedent died on       (insert date of death) at the following place of death:       (City),       , (County),       (State) (insert place of death). At the time of decedent's death, decedent's residence address was       (Street),       (City), Mississippi,       (Zip) (insert address of decedent's residence). 4. I was well acquainted with the family and near relatives of the said decedent, and with all those who would under the laws of the State of Mississippi, be his/her heirs. The following statements and the information contained herein, including my answers to named questions below, are based upon my personal knowledge and are true and correct. QUESTION 1 - Did the decedent leave a will? ANSWER : YES / NO QUESTION 2 - If the decedent left a will, has the will been admitted to probate? ANSWER : YES / NO / NA. If YES, at what place, and when?       ANSWER :       COUNTY, Mississippi,       CAUSE NUMBER       DATE QUESTION 3 - If the decedent left no will, has an administrator or personal representative been appointed for the estate of said deceased? ANSWER : YES / NO QUESTION 4 - If an administrator or personal administrator has been appointed, give the County in which the proceedings are pending, and the name and address of the administrator or personal representative. ANSWER :       Heirship Affidavit       COUNTY CAUSE NUMBER       NAME       ADDRESS                   QUESTION 5 - Give the name and address of the surviving widow or widower of decedent. ANSWER :       NAME       ADDRESS                   If not now living, state date of death:       QUESTION 6 - If the decedent was married more than once, give the name(s) of the former husband or wife, and state whether said former spouse is dead or divorced. ANSWER :       NAME STATUS (Dead or Divorced)                         QUESTION 7 - Give the names and places of residence of all the surviving children of deceased, together with the other information called for: ANSWER : (Give names of surviving children only) NAME OF CHILD ADDRESS DATE OF BIRTH IF NOT LIVING DATE OF DEATH HUSBAND OR WIFE NAME                                                                                                                                                                  FORMTEXT                                 QUESTION 8 - Give the name and address of any deceased children of the decedent, together with the other information called for: ANSWER : NAME OF CHILD DATE OF BIRTH DATE OF DEATH SURVIVING HUSBAND OR WIFE NAME DATE OF DEATH OF SPOUSE, IF APPLICABLE Heirship Affidavit                                                                                           QUESTION 9 - Give the names and addresses of the children of any deceased son or daughter of the decedent: ANSWER : NAME OF CHILD ADDRESS OF IF NOT LIVING DATE OF DEATH DATE OF BIRTH NAME OF FATHER OR MOTHER                                                                                                                                                                                                             QUESTION 10 - Did the decedent have any adopted children, or step-children taken into his home? ANSWER : YES/NO. If yes, provide their names, ages and addresses below: NAME ADDRESS AGE                                                                                                             QUESTION 11 - Did the decedent have any unpaid debts? ANSWER : YES / NO. If yes, provide as nearly as possible the amount of the debt and creditor and whether such debt has since been paid ANSWER : CREDITOR AMOUNT OF DEBT HAS DEBT NOW BEEN PAID                                                                         Heirship Affidavit                                                                         QUESTION 12 - If the decedent left no children, then give below the names and addresses (together with other information called for), or his or her surviving father, mother, brothers, sisters: ANSWER: NAME RELATIONSHIP AGE ADDRESS OR DATE OF DEATH                                                                                                                                                 QUESTION 13 - If the decedent left no children, spouse, mother, father, brother or sister, state all other known relatives: ANSWER: NAME RELATIONSHIP AGE ADDRESS                                                                                                                                                                                                                   Heirship Affidavit QUESTION 14: Did the decedent own any real estate in this State: ANSWER: YES / NO If yes, list Address or short description :       County:       Address or short description :       County:       Address or short description :       County:       Address or short description :       County:       Address or short description :       County:       QUESTION 15 : What is your relationship to the deceased? ANSWER :       DATED THIS THE       DAY OF _________________ , 20       . ___________________________________ Signature of Affiant SWORN TO AND SUBSCRIBED before me this the       day of _________________ , 20       . __________________________ NOTARY PUBLIC My Commission Expires: