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Heirship Questionnaire

This questionnaire is designed to aid in collecting the information typically needed to complete an Affidavit of Heirship. Please answer ALL questions clearly and completely. Provide FULL NAMES when responding. Information provided in this questionnaire will be used by this law office to prepare a legal document.

	GF#:		Date Needed:
1.	AFFIANT (Person Giving Affidavit – Please attach a copy of your Driver’s License)
	Name:
	Address:
	Date of Birth:		Relationship to Decedent:
	Number of Years that you knew Decedent:
	2.	DISINTERESTED WITNESSES – Provide the information below for two (2) disinterested witnesses that will signtheir own affidavit, verifying that the person above’s (Affiant) statements in the final Affidavit of Heirship are true andcorrect. “Disinterested” witnesses are persons who will not benefit or profit in any way from the sale of property ownedby Decedent. They CANNOT be a direct family member (ie. child, spouse, sibling, or parent of the decedent)
WITNESS 1 - Name:
Address:
Date of Birth:			Relationship to Decedent:
Number of Years that you knew Decedent:
WITNESS 2 - Name:
Address:
Date of Birth:			Relationship to Decedent:
Number of Years that you knew Decedent:
3.	DECEDENT (Death Certificate MUST be Provided)
	Full Legal Name of Decedent:
	Other Names Used by Decedent:
	Decedent’s Date of Birth:		Date of Death:
	Decedent’s Address at the Time of Death:		Age at Death:
	Did Decedent Leave a Will?:	(If Yes and the Will is available, please attach)
	Have there Been Court Proceedings for the Will? :	(Probate or Administration)
	If Yes, County and State of Filing:
4.	DECEDENT’S MARRIAGES
	Has Decedent Ever Been Married?:
	1^st Marriage – Spouses Name :
	Date of Marriage:		City/State of Marriage:
	Date Marriage Ended:		Reason Marriage Ended (Divorce, Death):
	2^nd Marriage – Spouses Name :
	Date of Marriage:		City/State of Marriage:
	Date Marriage Ended:		Reason Marriage Ended (Divorce, Death):
	3^rd Marriage – Spouses Name :
	Date of Marriage:		City/State of Marriage:
	Date Marriage Ended:		Reason Marriage Ended (Divorce, Death):
5.	DECEDENT’S CHILDREN – List ALL children of Decedent, whether living or deceased. Please include adopted children and children taken into Decedent’s home.
	1^st Child’s Name :
	Child’s Date of Birth:		Child’s Place of Birth (City & State):
	Child’s Address
	Living or Deceased?:		If Deceased, Date of Death:
	Child’s Parent, Other Than Decedent:
	2^nd Child’s Name :
	Child’s Date of Birth:		Child’s Place of Birth (City & State):
	Child’s Address
	Living or Deceased?:		If Deceased, Date of Death:
	Child’s Parent, Other Than Decedent:
	3^rd Child’s Name :
	Child’s Date of Birth:		Child’s Place of Birth (City & State):
	Child’s Address
	Living or Deceased?:		If Deceased, Date of Death:
	Child’s Parent, Other Than Decedent:
	4^th Child’s Name :
	Child’s Date of Birth:		Child’s Place of Birth (City & State):
	Child’s Address
	Living or Deceased?:		If Deceased, Date of Death:
	Child’s Parent, Other Than Decedent:
	5^th Child’s Name :
	Child’s Date of Birth:		Child’s Place of Birth (City & State):
	Child’s Address
	Living or Deceased?:		If Deceased, Date of Death:
	Child’s Parent, Other Than Decedent:
	6^th Child’s Name :
	Child’s Date of Birth:		Child’s Place of Birth (City & State):
	Child’s Address
	Living or Deceased?:		If Deceased, Date of Death:
	Child’s Parent, Other Than Decedent:
6.	DECEDENT’S DECEASED CHILDREN If any of Decedent’s children are deceased, their death certificate MUST be provided, in addition to the following information:
	1^st Deceased Child (Name) :		Did This Person Have Children :
	Name of Deceased Child’s Surviving Spouse:
	Address of Deceased Child’s Surviving Spouse:
	1^st Deceased Child’s Children
	Name of 1^st Child:		Child’s Date of Birth:
	Living or Deceased?:		If Deceased, Date of Death:
	Name of Child’s Other Parent:
	Address of Child’s Other Parent:
	Name of 2^nd Child:		Child’s Date of Birth:
	Living or Deceased?:		If Deceased, Date of Death:
	Name of Child’s Other Parent:
	Address of Child’s Other Parent:
	Name of 3^rd Child:		Child’s Date of Birth:
	Living or Deceased?:		If Deceased, Date of Death:
	Name of Child’s Other Parent:
	Address of Child’s Other Parent:
	2^nd Deceased Child (Name) :		Did This Person Have Children :
	Name of Deceased Child’s Surviving Spouse:
	Address of Deceased Child’s Surviving Spouse:
	2^nd Deceased Child’s Children
	Name of 1^st Child:		Child’s Date of Birth:
	Living or Deceased?:		If Deceased, Date of Death:
	Name of Child’s Other Parent:
	Address of Child’s Other Parent:
	Name of 2^nd Child:		Child’s Date of Birth:
	Living or Deceased?:		If Deceased, Date of Death:
	Name of Child’s Other Parent:
	Address of Child’s Other Parent:
	Name of 3^rd Child:		Child’s Date of Birth:
	Living or Deceased?:		If Deceased, Date of Death:
	Name of Child’s Other Parent:
	Address of Child’s Other Parent:
7.	ALTERNATIVE HEIRS – If no surviving spouse, children, or other descendants exist, list Decedent’sparents, their currents address (if living), dates of death (if deceased), state and county of death, and namesof children born to or adopted by either of Decedent’s parents.



8.	DECEDENT’S DEBTS – Please list ALL unpaid debts/expenses of Decedent’s estate, including but notlimited to funeral, doctor and hospital bills. Do not include loans secured by recorded liens against theproperty that is the subject of this questionnaire.
	Creditor
	Amount Owed