HomeMy WebLinkAbout897769 AFFIDAVIT
OF
PROOF OF HEIRq~EiVED
,COU T ,
'NAME OF DECEDENT ~,'
~ - ~ , ~y or Parish~~ , State of
of lawful age, being first duly sworn according.to law,~eposes and says that '~ is one of the surviving relatives and
heirs at law of ~ ~'~~
that the sai~)~ ~~ departed this life at or near ~~~'
in the County of ~~'~ ,in the State o~~~~~on
being ~ years of age at the ~~e~th. ' ·
The affiant further swears that the following is a true, correct and complete statement of the family history of said decedent,
and shows all persons who can be heirs at law.
Was the decedent married or single/ a widow or widower at time of deat~~ If marri~d/a widow or widower, give name of
husband or wife ~~~. ~. ~ ,address
Is such husband or wife now living? ~~ If dead, give date of death
Was decedent ever ~narried to any other tl~above person?
If so, give the following information: (List names in order of marriage)
7,OUSE OF DECEASED LIVING OR DEAD DATE OF MARRIAGE DATE OF DEATH DATE OF DIVORCE
If spouse has remarried, so state
If deceased had children, name all of them, showing which are adopted, illegitimate, living or dead. If illegitimate, state whether
living in father's family or publicly acknowledged by him.
LIVING
NAME OF CHILD OF DECEASED AGE ADDRESS OR IF DEAD, GIVE DATE
- , DEAD
(Over)
Did decedent leave a will disposing of any part of his or her estate or homestead?
Was there an administration of estate of this dec'edent?/]~ In what Cou_~-parish?'~-,J ~'-~_~
Havealldebts against the estate been paid? /~ G/
Did decedentlea'e' v personal property of sufficient~ 'value to pay all debts9
~ If decedent was receiving payment for the accruals to any mineral inter n land claimed and occupied by (him)
(her) as a homestead} describe and identify said homestead land:
Subscribed and sworn to before me this A a r~
day of
State?
My commission expires ~t)U~,¥~'~'-~ ~,/o~00 -~fi
CountY of ~ [ ~-~//~//~ ~
This instrument was acknowledged before me on
My commission expires:
Printed name of notary:
Nolaty Public
SUPPORTING AFFIDAVIT
We, the undersigned, of lawful age, being first duly sworn according to law, depose a, nd say that we fully understand the
facts and statements made in the attached and foregoing affidavit of ~X~~v,~ ~ ~ ~
; that we are per~/~lly acqu~ with the affiant and
are witnesses to his signature, and also were acquainted with said _~/~.4-~ ~'. ~'~~
Deceased, and we know that the above and foregoing ~hows
all the kin, relatives, or descendants of said deceased. Affiant: ._ ~' "~..~__
Affiant:
Address:
Subscribed and sworn to before me this~(~dayof r~ ~~~~"~.,, '";X'* ~..~d~"
State of ~ ~~AOW~
This instrument was acknowledged before me on
My commissicn expires:
, 19 , by
Printed name of notary:
Nolaq/Public
tD-644 p~, 4