Fill and Sign the Louisiana 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