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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