Missouri > Local Circuit Courts > 7th Circuit (Clay County) > Probate > Deceased
Application For Determination Of Heirship 572-D - Missouri
| Application For Determination Of Heirship Form. This is a Missouri form and can be used in Deceased Probate 7th Circuit (Clay County) Local Circuit Courts . |
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CIRCUIT COURT OF CLAY COUNTY, MISSOURI PROBATE DIVISION No.__________________ Matter of _______________________________________, deceased. (first) (middle) (last) APPLICATION FOR DETERMINATION OF HE IRSHIP (473.663 RSMo.) The undersigned applicant, _______________________________________, represents and states to the Court: 1. That _________________________________, age __________, died on _____________________________________, domiciled in ______________________, and residing at __________________________________________________________; 2. That no administration has been commenced on decedents estate in this state nor has any Will of the decedent been offered for probate in this state; 3. That the names, ages, residence addresses and, relationship to the decedent of the heirs, so far as known or can with reasonable diligence be ascertained are: NAME AGE ADDRESS RELATIONSHIP Form 572-D Page 1 of 2 Revised 3/17/2003 <<<<<<<<<********>>>>>>>>>>>>> 2 4. That the names and residence addresses of the persons claiming any interest in the property through an heir, so far as known or can with reasonable diligence be ascertained are: NAME AGE ADDRESS RELATIONSHIP 5. And the attached hereto marked, as Schedule A is a list of all property and its net value, owned by the decedent, at the time of death, to the best knowledge of this applicant. WHEREFORE, applicant requests that the Court order that a hearing be held on this application with notice to all interested parties as provided in Section 473.663 RSMo. And, that the Court then determines the heirs of the decedent at the time of death. THE STATEMENTS AND REPRESENTATIONS IN THIS DOCUMENT ARE MADE UNDER OATH AND ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THEY ARE MADE SUBJECT TO THE PENALTIES OF MAKING A FALSE AFFIDAVIT OR DECLARATION. _________________ ________________________________________ Date Signature of Applicant Attorney for applicant________________________________________ Bar #_________ Address___________________________________________________ Phone #_______ Form 572-D Page 2 of 2 Revised 3/17/2003
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