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Affidavit Regarding Heirship Descendants-November 2012 ELEVENTH JUDICIAL CIRCUIT COURT IN RE: THE ESTATE OF ) ) Case Number: Deceased. ) AFFIDAVIT OF HEIRSHIP SPOUSE/PARTNER AND/OR DESCENDANTS on oath states: 1. The Decedent, died on at the age of 2. I am of legal age, I reside at I am a (relationship) of the Decedent. I am not related to the Decedent, but have knowledge of Decedent’s heirship as a result of the following: 3. The Decedent was never married. The Decedent was never a party to a civil union. The Decedent was married (number of marriages). The Decedent was a party to a civil union (number of civil unions). The following is information with respect thereto: Name of Spouse/Civil Partner Marriage/Civil Partnership Terminated Predeceased (By death or dissolution) Decedent - P 4. No child was born or adopted by the Decedent. The following children, and no others, were born to or adopted by Decedent. ---PAGE BREAK--- Affidavit Regarding Heirship Descendants-November 2012 Name of Child By Spouse/Partner Minor – M Predeceased Letter Disabled - D P (From Section 3) 5. The following children, and no others, were born to or adopted by each deceased child: Deceased Child Name of each Child of Minor - M Predeceased Deceased Child Disabled - D P (Grandchild) 6. The following children, and no others, were born to or adopted by each deceased grandchild: Deceased Grandchild Name of each Child of Minor - M Predeceased Deceased Grandchild Disabled - D P (Great-Grandchild) 7. Based on the foregoing, Decedent left surviving as his or her heirs the following, all of whom survived the Decedent, and in the absence of any indication of the contrary, are of legal age and mentally competent. Name Relationship to Decedent (Trace Relationship) ---PAGE BREAK--- Affidavit Regarding Heirship Descendants-November 2012 Date Affiant Subscribed and sworn to before me this Circuit Clerk or Notary Public PRO SE Attorney Attorney Telephone