THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Estate of Case Number: (if known) HEIRS-AT-LAW – ESTATE WITHOUT WILL Original Form Amended Form HEIR-AT-LAW is a person who is entitled to receive the decedent’s personal or real property under the intestacy succession laws if there is no will. 1. List the decedent's surviving spouse, if any. Name Mailing Address 2. List all the children born of or adopted by the decedent who were living at the time of the decedent's death. (If more space is needed, attach additional pages.) Child of Name Mailing Address Surviving Spouse? Yes No Yes No Yes No Yes No Yes Age No 3. List all children born of or adopted by the decedent who were not living at the time of the decedent's death. (If there is more than one deceased child or if more space is needed, attach additional pages.) Name: Date of Death List the deceased child's surviving issue (children, grandchildren, etc.). (If more space is needed, attach additional pages.) Name NHJB-2151-P (10/01/2006) (formerly AOC-238-003 (07/03) Mailing Address Page 1 of 2 Relationship Age American LegalNet, Inc. www.FormsWorkflow.com Case Name: Estate of Case Number: HEIRS-AT-LAW – ESTATE WITHOUT WILL 4. If the decedent had no surviving issue (children, grandchildren, etc.), list the decedent’s parents if living. Name Mailing Address 5. If the decedent had no surviving spouse, parents or issue (children, grandchildren, etc.), list the heirs as defined under RSA 561:1. (If more space is needed, attach additional pages.) Name Mailing Address Date Age Executor/Administrator Date Relationship Executor/Administrator NHJB-2151-P (10/01/2006) (formerly AOC-238-003 (07/03) Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com