IN THE CIRCUIT COURT FOR HILLSBOROUGH COUNTY, FLORIDA PROBATE DIVISION IN RE: ESTATE OF CASE NUMBER: [DECEDENT], AFFIDAVIT OF HEIRS For purposes of this document, you must list ALL RELATIVES of the decedent, including yourself, if applicable. If thAnswering with n/a, not applicable, or any other such designation is inappropriate for this document. If there iappropriate you must indicate if the relationship is that of a half-relative (i.e. half-brother or half-sister). 1. Spouse of the Decedent. (Provide name, age, and address; or if deceased, provide name, indicate deceased, and date of death). 2. Children of the Decedent, or descendants of deceased children. (Provide name, age, and address; or if deceased, provide name, indicate deceased, and date of death). If any of the children are NOT biologically related to BOTH the decedent and the spouse at the time of death, provide the name 2a. If the surviving spouse has children who are not the children of the deceased, please indicate their name(s). 3. Parents of the Decedent. (Provide name, age, and address; or if deceased, provide name, indicate deceased, and date of death). American LegalNet, Inc. www.FormsWorkFlow.com 4. Siblings, and descendants of deceased siblings. You must indicate whether the relationship is that of a half-relative (i.e. half -brother or half-sister). (Provide name, age, and address; or if deceased, provide name, indicate deceased, and date of death). 5. Grandparents. (Provide name, age, and address; or if deceased, provide name, indicate deceased, and date of death). 6. Aunts and Uncles of the Decedent. (Provide name, age, and address; or if deceased, provide name, indicate deceased, and date of death). 7. Kindred of the last deceased spouse (ONLY IF filing intestate and is not previously listed above). (Provide name, age, and address; or if deceased, provide name, indicate deceased, and date of death). Under penalties of perjury, I declare that I have read the foregoing Affidavit of Heirs and the facts stated therein are true. Affiant (Signature) Name: Address: State of County of Subscribed and sworn before me this day of , 20. Notary Public or Deputy Clerk Personally known Produces identification Print, type or stamp commissioned name of Type of identification: Notary or deputy clerk American LegalNet, Inc. www.FormsWorkFlow.com