Fill and Sign the Survivorship Affidavit Joint Tenants Husband and Wife Missouri Form

© 2016 - U.S. Legal Forms, Inc. MISSOURI SURVIVORSHIP AFFIDAVIT [Joint Tenants - Husband and Wife]       Control Number: MO-AFFJI-001 I. TIPS ON COMPLETING THE FORMS The form(s) in this packet may contain “form fields” created using Microsoft Word or Adobe Acrobat (“.pdf” format). “Form fields” facilitate completion of the forms using your computer. They do not limit your ability to print the form “in blank” and complete with a typewriter or by hand. It is also helpful to be able to see the location of the form fields. Go to the View menu, click on Toolbars, and then select Forms. This will open the Forms toolbar. Look for the button on the Forms toolbar that resembles a shaded letter “a”. Click this button and the form fields will be visible. By clicking on the appropriate form field, you will be able to enter the needed information. In some instances, the form field and the line will disappear after information is entered. In other cases, it will not. The form was created to function in this manner. II. DISCLAIMER These materials were developed by U.S. Legal Forms, Inc. based upon statutes and forms for the subject state. All information and Forms are subject to this Disclaimer: All forms in this package are provided without any warranty, express or implied, as to their legal effect and completeness. Please use at your own risk. If you have a serious legal problem, we suggest that you consult an attorney in your state. U.S. Legal Forms, Inc. does not provide legal advice. The products offered by U.S. Legal Forms (USLF) are not a substitute for the advice of an attorney. THESE MATERIALS ARE PROVIDED “AS IS” WITHOUT ANY EXPRESS OR IMPLIED WARRANTY OF ANY KIND INCLUDING WARRANTIES OF MERCHANTABILITY, NONINFRINGEMENT OF INTELLECTUAL PROPERTY, OR FITNESS FOR ANY PARTICULAR PURPOSE. IN NO EVENT SHALL U.S. LEGAL FORMS, INC. OR ITS AGENTS OR OFFICERS BE LIABLE FOR ANY DAMAGES WHATSOEVER (INCLUDING WITHOUT LIMITATION DAMAGES FOR LOSS OR PROFITS, BUSINESS INTERRUPTION, LOSS OF INFORMATION) ARISING OUT OF THE USE OF OR INABILITY TO USE THE MATERIALS, EVEN IF U.S. LEGAL FORMS, INC. HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. (Space above reserved for Recorder of Deeds certification) Title of Document: SURVIVORSHIP AFFIDAVIT Date of Document:       Affiant:       Decedent(s):             Affiant’s Mailing Address:       Legal Description:       Reference Book and Page(s):       Survivorship Affidavit - 1 - SURVIVORSHIP AFFIDAVIT STATE OF MISSOURI ) ) SS: COUNTY OF       )       , being first duly sworn upon oath, deposes and says: 1. That       died on       , 20       at       . (See Certificate of Death attached hereto as Exhibit A and incorporated by reference herein for all purposes.) 2. That decedent,       , is the same person named as one of the parties in that certain deed dated       , listing as Grantees, and as joint tenants,       and       , recorded on       as Document No.       , in the Official Records of       County, Missouri, covering the following described real property: See Legal Description Attached as Exhibit B incorporated by reference as though set forth in full Legal Description:       3. That their relationship as joint tenants in the above real estate remained in effect and unbroken until the date of his death. 4. That all funeral expenses in connection with the death of said decedent have been paid in full. 5. That all of the assets of said decedent which would be includable for Federal Estate Tax purposes, including joint bank accounts and life insurance on decedent’s life were not sufficient to necessitate payment of Federal Estate Tax. Further affiant sayeth not. ____________________________________ Affiant Signature Subscribed and sworn to before me, a Notary Public this _______ day of ___________________, 20_____. __________________________________________ Notary Public Survivorship Affidavit - 2 - My Commission Expires: ___________________________________ Survivorship Affidavit - 3 -