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Fill and Sign the Kin Spouse 497330948 Form

Fill and Sign the Kin Spouse 497330948 Form

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Heirship Affidavit Made By Someone Well-Acquainted with Decedent (Decedent having Spouse and Children at Death) State of __________________________ County of ________________________ ______________________ (Name of Affiant) , being first duly sworn, deposes and says that: 1. I was well-acquainted with ________________________ (name of decedent) during ________ (his or her) lifetime. 2. ___________________ (Name of decedent) died in __________________ (name of city) , ___________________ (name of county) , _____________________ (name of state) , on ___________________ (date of death) . 3. _______________________ (Name of decedent) was married but once, and then to ________________________ (name of spouse) . 4. _______ (Number of children) children were born of the marriage: ________________ (name of first son) , a son who died in the lifetime of ____________________ (name of decedent) , unmarried and without issue; __________________ (name of second son) , a son; and ____________________ (name of daughter) , a daughter, now the wife of _____________________ (name of husband of daughter) . 5. At the time of _______ (his or her) death, __________________ (name of decedent) left ________ (him or her) surviving _________________ (widow or widower) , ______________________ (name of widow or widower) , ________ (his or her) son, ______________________ (name of first son) , and ______ (his or her) daughter, _____________________ (name of daughter) , as ______ (his or her) only heirs at law and next of kin. _________________________________ (Signature of Affiant) _____________________________ (Print or Type Name) SWORN to and subscribed before me, this the ______ day of ______________, 20______. __________________________ NOTARY PUBLIC My Commission Expires: _______________________

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