Fill and Sign the Virginia Real Estate Affidavit Formsdeedscom

LIST OF HEIRS Court File No. ........................................................................... COMMONWEALTH OF VIRGINIA VA. CODE § 64.2-509 ............................................................................................................................................................................................................................... Circuit Court ..................................................................................................................... ................................................................................................................... NAME OF DECEDENT DATE OF DEATH I/We, the undersigned, hereby state under oath that the following are all of the heirs of the Decedent: NAMES OF HEIRS ADDRE SSES RELATIONSHIP AGE ........................................................................................................................................................................................................................................................... ........................................................................................................................................................................................................................................................... ........................................................................................................................................................................................................................................................... ........................................................................................................................................................................................................................................................... ........................................................................................................................................................................................................................................................... ........................................................................................................................................................................................................................................................... ........................................................................................................................................................................................................................................................... ........................................................................................................................................................................................................................................................... [ ] This L IST OF HEIRS is filed in addition to the L IST OF HEIRS previously filed with this Court on .................................................. DATE I/we am/are (please check one): [ ] Proponent(s) of the will (no qualification) [ ] Personal representative(s) of the decedent's estate [ ] Heir-at-law of intestate decedent (no qualif ication within 30 days following death) Given under my/our hand this .............................. day of ............................................................................................................ , 20 .......................... DATE .............................................................................................................................. ________________________________________________________ PRINTED NAME OF SUBSCRIBER SIGNATURE OF SUBSCRIBER .............................................................................................................................. ________________________________________________________ PRINTED NAME OF SUBSCRIBER SIGNATURE OF SUBSCRIBER .............................................................................................................................. ________________________________________________________ PRINTED NAME OF SUBSCRIBER SIGNATURE OF SUBSCRIBER State/Commonwealth of ................................................................. [ ] City [ ] County of .................................................................. to wit: Subscribed and sworn to before me this .................. day of .................................................................................... , 20 .......................... by ....................................................................................................................................................................................................................................................... NAME(S) ............................................................................................................................................................................................................................................................. _________________________________________________________________ [ ] CLERK [ ] DEPUTY CLERK [ ] NOTARY PUBLIC My commission expires .............................................................. Registration No................................................................................ VIRGINIA: In the Clerk's Office of the ..................................... Circuit Court this .............. day of ............................................ , 20 ........ . the foregoing L IST OF HEIRS was filed and admitted to record. Teste: _______________________________________ CLERK by: ______________________________ , Deputy Clerk FORM CC-1611 MASTER 10/12