Print, Complete and Mail in the appropriate Request Form
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form above
or
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_______________________________________________________________________
Affidavit as to Death of Owner
Request Form
General Warranty Deed or Quit Claim Deed
(send 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*
___________________________________________________________________________
(*Signatures Required - by signing this form you acknowledge and agree to the Important Notes below)
.
IMPORTANT NOTES*
1. By signing this form you agree this form will serve as the complete written agreement between yourself and Missouri Beneficiary Deed, LLC, to 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.
2. The proper signing of your Affidavit in the presence of a notary public and the recording of your Affidavit and the fee charged by the your County Recorder of Deeds office to record such Affidavit will be and is your responsibility.
3. You understand and agree no legal advice has been provided to you and no legal services have been provided to you. Consult with an Attorney of your choice for legal advice and a review of your particular legal concerns and affairs.
4. In your behalf and on behalf of your estate you hereby release and hold harmless Missouri Beneficiary Deed, LLC, and Michael J. Denk, Attorney at Law, from any and all claims relating to your request, use and implementation of such Affidavit.
_______________________________________________________________________
Affidavit as to Death of Grantor
Request Form
Grantor's Name as set forth in Beneficary Deed
(send copy of such Beneficiary Deed)
__________________________________________________________________________________
Date of Death of Grantor (send copy of death certificate)
__________________________________________________________________________________
Name(s) of Grantee(s)/Beneficiay(ies) as set forth in Beneficiary Deed
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Name and Mailing Address of one Grantee (no P.O. Box)
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
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*
___________________________________________________________________________
(*Signature Required - by signing this form you acknowledge and agree to the Important Notes below)
IMPORTANT NOTES*
1. By signing this form you agree this form will serve as the complete written agreement between yourself and Missouri Beneficiary Deed, LLC, to 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.
2. The proper signing of your Affidavit in the presence of a notary public and the recording of your Affidavit and the fee charged by your local County Recorder of Deeds office to record such Affidavit will be and is your responsibility.
3. You understand and agree no legal advice has been provided to you and no legal services have been provided to you. Consult with an Attorney of your choice for legal advice and a review of your particular legal concerns and affairs.
4. In your behalf and on behalf of your estate you hereby release and hold harmless Missouri Beneficiary Deed, LLC, and Michael J. Denk, Attorney at Law, from any and all claims relating to your request, use and implementation of such Affidavit.