Missouri Beneficiary Deed
Missouri Beneficiary Deed

                     Affidavit Request

 

Affidavit as to Death of Owner

 

Request Form

 

Deceased Owner's Name as set forth in original

General Warranty Deed or Quit Claim Deed

              (send a copy of such deed)

 

__________________________________________________________________________

 

 

Date of Death of Owner (send copy of death certificate)

 

__________________________________________________________________________

 

 

Relationship of Deceased Owner to Surviving Owner

 

 

__________________________________________________________________________

 

 

Missouri County where the Real Property is located

 

 

__________________________________________________________________________

 

 

Address of Real Property

 

__________________________________________________________________________

 

 

__________________________________________________________________________

 

 

Your Full Name

 

_________________________________________________________________________

 

 

Your Relationship to Surviving Owner _____________

 

 

 

 

 

 

Your Mailing Address

 

________________________________________________________________________

 

 

________________________________________________________________________

 

 

 

Your Telephone Number

 

_______________________________________________________

 

 

Your Signature

 

_______________________________________________________

 

 

Surviving Owner's Mailing Address

 

_______________________________________________________________________

 

 

_______________________________________________________________________

 

 

Surviving Owner's Telephone Number

 

_______________________________________________________

 

 

Signature of Surviving Owner

 

_______________________________________________________

 

 

.

IMPORTANT NOTES

 

1. By signing this form you agree this form will serve as the  written agreement between yourself and Michael J. Denk, Attorney at Law and Missouri Beneficiary Deed, LLC, to draft and provide you with one (1) Affidavit as to Death of Owner (at the cost of $145) per your request and based upon the information you provide on this form. You understand and agree no other drafting services are being provided to you.

 

2. The signing and proper recording of your Affidavit and the fee charged by the local County Recorder of Deeds office to record such Affidavit will be and is your responsibility.

 

3. You understand and agree no legal advice is being provided to you and you should consult with an Attorney of your choice for such legal advice.

 

4. On your behalf and on behalf of your estate you hereby release and hold harmless Michael J. Denk, Attorney at Law and Missouri Beneficiary Deed, LLC, from any and all claims relating to your use and implementation of such Affidavit.

 

 

 

 

 

 

 

_______________________________________________________________________

 

 

 

Affidavit as to Death of Grantor

 

Request Form

 

 

Grantor's Name as set forth in Beneficary Deed

       (send a copy of such Beneficiary Deed)

 

______________________________________________________________________

 

 

Date of Death of Grantor (send copy of death certificate)

 

______________________________________________________________________

 

 

Name(s) of Grantee(s)/Beneficiary(ies) as set

                 forth in Beneficiary Deed

 

________________________________________________________________

 

 

________________________________________________________________

 

 

________________________________________________________________

 

 

________________________________________________________________

 

 

Name and Mailing Address of one Grantee

                        (no P.O. Boxes)

 

_________________________________________________________________

 

 

_________________________________________________________________

 

 

_________________________________________________________________

 

 

Missouri County where Real Property is located

 

_________________________________________________________________

 

 

 

Missouri City where Real Property is located

 

_________________________________________________________________

 

 

 

Address of Real Property

 

__________________________________________________________________________

 

 

__________________________________________________________________________

 

 

Your Full Name

 

_________________________________________________________________________

 

 

Your Relationship to the Grantor __________________

 

 

 

 

 

 

 

 

 

 

 

 

Your Mailing Address

 

________________________________________________________________________

 

 

________________________________________________________________________

 

 

 

Your Telephone Number

 

_______________________________________________________

 

 

 

Your Signature

 

_______________________________________________________

 

 

IMPORTANT NOTES

 

1. By signing this form you agree this form will serve as the  written agreement between yourself and Michael J. Denk, Attorney at Law and Missouri Beneficiary Deed, LLC, to draft and provide you with one (1) Affidavit as to Death of Grantor (at the cost of $145) per your request and based upon the information you provide on this form. You understand and agree no other drafting services are being provided to you.

 

2. The signing and proper recording of your Affidavit and the fee charged by the local County Recorder of Deeds office to record such Affidavit will be and is your responsibility.

 

3. You understand and agree no legal advice is being provided to you and you should consult with an Attorney of your choice for such legal advice.

 

4. On your behalf and on behalf of your estate you hereby release and hold harmless Michael J. Denk, Attorney at Law and Missouri Beneficiary Deed, LLC, from any and all claims relating to your use and implementation of such Affidavit.

 

 

 

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