New York Title Research Corp
AFFIDAVIT OF HEIRSHIP 

AFFIDAVIT OF HEIRSHIP				Title No.			

State of New York
County of 

                    } SS.:				, being duly sworn, deposes and says:

	That he/she is the (husband) – (wife) – (child) of				
deceased, who acquired title to premises in				County, New York, described as follows:

             That said			                         died a resident of the County of 		State of New York, on the	day of 		, 20      , [having executed a Last Will and Testament] [dying without a Last Will and Testament], and no proceedings have been commenced as to his/her Estate. He/she has only the following surviving relatives:
	
NAME 					ADDRESS				RELATIONSHIP

	That said decedent left h	im/ her surviving no husband or wife, no child or children, (marital or non-marital),
no adopted child or children, no child or children conceived before but born alive after said decedent’s death, no 
descendants of any deceased child or children, no descendants of  any deceased adopted child or children, no father 
or mother, no brother or sisters, no issue of any deceased brother or sister, no grandparents, no uncle, no aunt, and 
no issue of a deceased uncle or aunt other that those above named.
	
	That all of the persons above named are 18 years of age or older, except:

	That all of the persons above named are of sound mind, except:

	That none of the persons above-named have been adopted, except:

	That said deceased in his/her lifetime was a citizen of the United States or was a subject of

	This affidavit is made to induce New York Title Research Corp and its underwriter to issue its policy of title insurance covering the above premises knowing that it relies upon the truth hereof.

							__________________________________________________

Sworn to before me this              day 

of			, 20

Affidavit of Heirship