Fill and Sign the Next Kin Form

Affidavit of Heirship (Decedent died Intestate) State of __________________________ County of ________________________ ___________________________ (Name of Affiant) , being first duly sworn, deposes and says that: 1. _______ (He or She) is the (describe relationship) ____________________________ ________________________ of Decedent _______________________ (Name of Decedent) , deceased, who acquired title to the premises (referred to herein as the Premises ) that is more particularly described as follows: Legal Description ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 2. Said Decedent died on __________________ (Date) while a resident of the County of ______________________ (Name of County) , __________________ (Name of State) and while legally seized of said Premises, intestate, and no probate proceedings were had regarding the Estate of Decedent, leaving surviving at the time of Decedent’s death, as Decedent’s only lawful heirs-at-law, the following named persons: Name Address Relationship _____________________ __________________________________ _______________ _____________________ __________________________________ _______________ _____________________ __________________________________ _______________ 3. At he time of ________ (his or her) death, said Decedent had no _________________ ( husband or wife ) surviving ( him or her ) , and Decedent had no child or children, _________________ (legitimate or illegitimate) , no adopted child or children, no descendants of any deceased child or children, no descendants of any deceased adopted child or children, no father or mother, no brothers or sisters, no issue of any deceased brothers or sisters, no grandparents, no uncle, no aunt, and no issue of a deceased uncle or aunt other than those listed above named surviving at ______ (his or her) death. 4. All of the persons above named are of full legal age. 5. All of the persons above named are of sound mind. 6. Said Decedent was a citizen of the United States. 7. This Affidavit is made to induce _______________________________ (Name of Title Insurance Company) to issue its policy of title insurance covering the Premises knowing that it relies upon the truth hereof. ________________________________ (Signature of Affiant) ________________________________ (Print or Type Name) SWORN to and subscribed before me, this the ______ day of ______________, 20______. __________________________ NOTARY PUBLIC My Commission Expires: _______________________