NO. _______ ESTATE OF § § § § § ____________________________, DECEASED IN THE PROBATE COURT NO. ____ _______ COUNTY, TEXAS AFFIDAVIT OF HEIRSHIP On this day _______________________ ("Affiant") personally appeared in open court and, after being duly sworn, deposed and said: A. My name is ___________________. I am over the age of twenty-one years and I reside at _____________________________________________. B. I am acquainted with the family history of ___________________ ("Decedent"), who died on _______________, 199__, in ______________ County, Texas, at the age of ___ years. The Decedent resided at _______________________________, _____________ County, Texas, at the time of his death. To the best of my knowledge, Decedent left no will. C. The only children born to or adopted by Decedent are: ___________________, who was born ________________, 19___, in ___________, Texas, and who survived Decedent; and ________________, who was born ________________ in ________________, Texas, and who survived Decedent. D. Decedent was married twice. He was married to __________________, and that marriage ended in divorce in 19___. He was married to ____________________ at the time of his death. ___________________ survived Decedent. E. Each marriage of Decedent and all children born to or adopted by Decedent are stated in this affidavit. American LegalNet, Inc. www.FormsWorkflow.com F. The name, age, marital status, address and relationship of each heir to Decedent are as follows: Name, Age and Marital Status Residence Address Relationship ______________, Age ___, Widowed ____________________ ____________________ Wife ______________, Age ___, Unmarried ____________________ ____________________ Daughter by Prior Marriage ______________, Age ___, Unmarried ____________________ ____________________ Daughter by Prior Marriage G. I have no interest in the estate of Decedent, and I am not related to Decedent under the laws of descent and distribution of the State of Texas. _______________________, Affiant SUBSCRIBED AND SWORN TO before me by _________________ in open court on the ____ day of ____________, 199__, to certify which witness my hand and seal of office. County Clerk, _________ County, Texas By: Deputy AFFIDAVIT OF HEIRSHIP PAGE 2 American LegalNet, Inc. www.FormsWorkflow.com