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Affidavit of Heirship - cogc.com

Affidavit OF DEATH AND Heirship . STATE OF . COUNTY OF . , of , (Name of Person Giving Information) (City, State). Being of lawful age, being first duly sworn according to law, on oath says: That the information set forth herein constitutes a true, correct and complete statement of the family history of the person hereinafter named as "Decedent" (deceased person) and of the estate of such Decedent. Name of Decedent Date of Death What was Decedent's state of residence at the time of death? Did Decedent leave a Will? Yes____ No____ Unk____ If yes, has the Will been probated? Yes____ No____ Unk____. If not, have any other administrative proceedings been initiated on Decedent's estate? Yes____ No____ Unk____. If a probate or other administrative proceeding has occurred please provide the following information: Where (City, State)? Appx when: Case Number if known?

Next of Kin Name Relationship Death, if Last Known Address or State of Residence Appx Age Date of decd ... that I have read the foregoing Affidavit of Death and Heirship, know the contents thereof, and that each and every statement therein contained is true, to …

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