Missouri Affidavit of Heirship

Introduction

I, [YOUR NAME], of legal age, being duly sworn, depose and state as follows:

Statement of Facts

1. I am a competent adult and have personal knowledge of the facts stated herein.

2. [DECEASED'S NAME] (the "Decedent"), who resided at [DECEDENT'S ADDRESS], passed away on [DATE OF DEATH], as per the death certificate attached hereto as Exhibit A.

3. To the best of my knowledge, the Decedent did not leave a valid will.

Heirs of the Decedent

The Decedent is survived by the following heirs, who are of legal age and competent to inherit under Missouri law:

• [HEIR NAME], [RELATIONSHIP TO DECEDENT]

• [HEIR NAME], [RELATIONSHIP TO DECEDENT]

• [HEIR NAME], [RELATIONSHIP TO DECEDENT]

Investment Details

The Decedent held an investment account with [NAME OF INVESTMENT COMPANY], account number [ACCOUNT NUMBER], with an approximate value of [VALUE OF INVESTMENT] at the time of death.

Sworn Oath

I swear under penalty of perjury that the foregoing statements are true and correct to the best of my knowledge, information, and belief.

[YOUR NAME]

Affiant

---

Sworn to and subscribed before me this [DATE] day of [MONTH], [YEAR].

Notary Public
[NOTARY SEAL]

Affidavit Templates @ Template.net