Fill and Sign the Right Survivorship 497296891 Form

AFFIDAVIT REGARDING TERMINATION OF COMMUNITY PROPERTY HELD WITH RIGHT OF SURVIVORSHIP State of Arizona County of ___________ The undersigned, being first duly sworn, says: I am the surviving spouse of________________, who died on _________________. At the time of death, decedent was the owner with me of real property held as community property with right of survivorship. The property is described as follows: The status of community property with right of survivorship was created by Deed recorded on _______________, in the Recorder’s Office of _______________ County, Arizona, in Book ___________________________ at Page(s) ______________________. This affidavit is made from my own knowledge, and I will testify positively to the truth of the same in any court whenever called upon for that purpose. A certified copy of the Certificate of Death of decedent, together with an Estate Tax Waiver from the Arizona Department of Revenue affecting said property, is attached hereto. ______________________________ Affiant’s Name ______________________________ Affiant’s Address ______________________________ Dated: ________________________ ______________________________ Affiant’s Signature STATE OF ARIZONA COUNTY OF ___________________ The foregoing instrument was acknowledged before me this ____ day of ___________, ____, by ________________________ (person). ___________________________________ NOTARY PUBLIC Print Name:__________________________ My Commission Expires: _________________