Introduction

STATE OF VIRGINIA

COUNTY OF [COUNTY NAME]

Before me, the undersigned authority, on this [Date], personally appeared [Your Name], known to me to be the person whose name is subscribed to the foregoing instrument, and, being by me duly sworn, upon oath deposed and stated the following facts:

Statement of Facts

1. I, [Your Name], of legal age and sound mind, solemnly affirm the veracity of the statements made herein.

2. As per my knowledge, information, and belief, [Deceased's Name], who was a resident of [County Name] County, Virginia, died intestate on [Date of Death].

3. The decedent, [Deceased's Name], is survived by the following heirs at law: a. [Name of Heir 1], residing at [Address], whose relationship to the decedent is [Relationship to Deceased].

   b. [Name of Heir 2], residing at [Address], whose relationship to the decedent is [Relationship to Deceased].

4. These aforementioned individuals are the only known heirs to the estate of [Deceased's Name], in accordance with the laws governing intestate succession in the Commonwealth of Virginia.

5. There has been no appointment of an executor or administrator for the estate of [Deceased's Name], and there is no pending application for such appointment.

6. The decedent, [Deceased's Name], owned real property located at [Property Address] within the County of [County Name], Virginia, at the time of their demise, and the heirs listed in this affidavit are entitled to their respective shares of ownership in said property.

7. The decedent, [Deceased's Name], did not leave any outstanding debts or liabilities at the time of their passing, as confirmed by diligent inquiry and examination of available records.

8. Each of the heirs named in this affidavit is of legal age and has the capacity to inherit under the laws of the Commonwealth of Virginia.

Sworn Oath

I affirm that all statements made herein are true and accurate to the best of my knowledge and belief.

Signature

[Your Name]
Affiant

Subscribed and sworn to before me this [Day] day of [Month], [Year].

[Notary Public's Name]

Notary Public in and for the State of Virginia

My Commission Expires: [Expiry Date]

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