Affidavit of Surviving Joint Tenant State of Oklahoma County of _____________________ } } } SS On the _____ day of _______________, 20____, I, __________________________________, of lawful age, being duly sworn, state as follows: On the ____ day of ______________, 20____, property was conveyed to ______________________ and _____________________________ as (check one) ______ ______ joint tenants, and not as tenants in common, with right of survivorship; a life tenancy held by ______________________________ and _______________ _______________________ as surviving life tenant or remainderman; the following described real property situated in _______________________ County, Oklahoma, to wit: (provide legal description) _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ which deed was recorded in the records of the County Clerk of ______________________ County, Oklahoma, in Book ______, Page ______. A certified copy of the death certificate of ________________________________, deceased, issued by the Department of Health for the State of ___________________ showing that the deceased joint/ life tenant died on the _____ day of ___________________, 20____, is attached to this Affidavit. Affiant further states that __________________________ is the surviving joint tenant/ remainderman in the described property, and that the decedent is one and the same person as the joint tenant/ remainderman named in the deed recorded as described above. Affiant additionally states: (check one) ______ That on the date of the deceased joint tenant's death, the decedent and ___________ __________________, the remaining joint tenant, were married to each other and that Affiant is the surviving spouse; American LegalNet, Inc. www.FormsWorkFlow.com ______ That, if the decedent and surviving joint tenant/surviving life tenant, or remainderman were not husband and wife, a waiver or release issued by the Oklahoma Tax Commission of the estate tax lien, unless released by operation of law, is attached to the Affidavit. If this Affidavit is signed and acknowledged by the personal representative or duly appointed attorney in fact of the surviving joint tenant, certified copies of the letters of administration, letters testamentary, letters of guardianship or power of attorney for the Affiant must be attached. __________________________________ Affiant Signed and sworn to before me this ________ day of _____________________, 20_____. ___________________________________ Notary Public My commission expires: ________________________________ AOC Form Revised 6/09 American LegalNet, Inc. www.FormsWorkFlow.com