PROOF OF DEATH AND HEIRSHIP FORM - Genesis Energy



AFFIDAVIT OF HEIRSHIP FORM

INSTRUCTIONS

1. Two Affiants are required -- one to sign as “Affiant” and one to sign the Corroborating

Affidavit portion.

2. An Affiant should not be related to the Deceased, either through blood or marriage --

nor can Affiant be in line to inherit any of the Deceased’s Estate.

3. Each Affiant must be a person who has been well acquainted with the Deceased for

several years. Further, the Affiant must be knowledgeable of the Deceased’s family

history.

4. All applicable blanks must be completed.

5. After completing the Proof of Death and Heirship form, the Affiant must sign and

the second Affiant must sign the Corroborating Affidavit portion.

6. The completed form must then be notarized (both signatures) and the seal of the

Notary imprinted on the form.

7. The Proof of Death and Heirship form must be recorded in Gregg County, Texas:

Gonzales County Clerk

Lee Riedel

Courthouse Annex

109 Sarah DeWitt Drive

Gonzales, TX 78629

PHONE: (830) 672-2801

FAX: (830) 672-2636

Bienville Parish Cle

8. Contact the County Clerk to determine their requirements for submission of documents

for recording.

9. Provide a copy of the recorded Affidavit to Genesis Crude Oil, L. P. (keep your

Original.)

NOTE: By use of an Affidavit of Heirship, distribution of the Decedent’s Estate will be not be made in accordance with the Will but in accordance with the Laws of Descent and Distribution of the State where the property is located.

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