Fill and Sign the Louisiana Affidavit of Death and Heirship Form

SUCCESSION : _______ JUDICIAL DISTRICT COURT OF : PARISH OF _______, LOUISIANA ______________ : DOCKET NO. _______ ______________________________________________________________________________ AFFIDAVIT OF DEATH, DOMICILE AND HEIRSHIP STATE OF LOUISIANA PARISH OF _______ BEFORE ME, the undersigned, a Notary Public, personally came and appeared ______________ and ______________, personally known to me, who, after being duly sworn, did depose and say: l. That appearers were well and truly acquainted with the deceased, ______________. 2. That ______________ died in ______________, Louisiana, on _______ ____, 20____. 3. That ______________ died intestate (without a will). 4. That ______________ was married but once and then to ______________. 5. That ______________ had one (1) child, namely, ______________. 6. That ______________ was never adopted, nor did he adopt anyone. 7. That ______________ was domiciled and residing in _______ Parish, Louisiana, at the time of his death and for many years prior thereto. 8. That ______________ owned immovable property in _______ Parish, Louisiana, at the time of his death. 9. That ______________ was survived by his wife, ______________ and his one (1) child, ______________. _________________________________ ______________ _________________________________ ______________ SWORN TO AND SUBSCRIBED before me this _____ day of _________, 20____. ___________________________________ _________ NOTARY PUBLIC