AFFIDAVIT OF MARITAL STATUS
AFFIDAVIT OF MARITAL STATUS
STATE OF NEW YORK )
) SS.:
COUNTY OF )
, being duly sworn, deposes and says:
I am (relationship) of (name of deceased),who died a resident of County of .
At the time of decedent’s death, he/she was still married to ; Said marriage had not been terminated by divorce, dissolution, or annulment, or legal Separation; and decedent never executed a joint or mutual will.
I make this affidavit to induce JUDICIAL TITLE INSURANCE AGENCY, LLC,
and its underwriter, , to insure title premises described in their Title Report No. .
______________________________
Sworn to before me this
Day of , 20 .
___________________________
Notary
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