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Affidavit of Heirs - Completed

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16 views2 pages

Affidavit of Heirs - Completed

Uploaded by

Juzy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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IN THE CIRCUIT COURT FOR BROWARD COUNTY, FLORIDA

IN RE: ESTATE OF PROBATE DIVISION

Erick Nathan Burton File No.

Deceased Division.

AFFIDAVIT OF HEIRS
For purposes of this document, you must list ALL RELATIVES of the decedent. If the relative was
deceased at the time of the decedent’s death, please provide the deceased relative’s name, indicate
deceased, and date of death. Answering with an n/a, not applicable, or any other such designation is
inappropriate for this document. If there are no other relatives for a particular category, write “None.”
When appropriate you must indicate if the relationship is that of a half-relative (i.e. half-brother or
half-sister).

1. Spouse of Decedent. (Provide name, age, and address; or if deceased, provide name, indicate
deceased, and date of death).

- Elizabeth Burton
Age: 58
Address: 9693 NW 51st, Pembroke Pines, FL 33313

2. Children of the Decedent, or descendants of deceased children. (Provide name, age, and address; or
if deceased, provide name, indicate deceased, and date of death). If any of the children are not
biologically related to both the decedent and the spouse at the time of death, provide the name of that
particular child’s biological parent.
- Weston Nathan Burton
Age: 32
Address: 333 Bridge Street, Plantation, Florida 33325
- Cynthia Burton
Age: 27
Address: 56 North Bay Road Apt 36, Pembroke Pines, Florida 33313
- Eli Burton
Age: 29
Address: 3242 Flagler Fly Road Apt 8, Pembroke Pines, Florida 33317

3. Parents of the Decedent. (Provide name, age, and address; or if deceased, provide name, indicate
deceased, and date of death).

- Marlon Burton
Age: 89
Address: 232 East Sabal Palm Road, Manhattan KS 66502
- Neida Burton
Age: 86
Address: 232 East Sabal Palm Road, Manhattan KS 66502
4. Siblings, and descendants of the deceased siblings. You must indicate whether the relationship
is that of a half-relative (i.e. half-brother or half-sister). (Provide name, age, and address; or if
deceased, provide name, indicate deceased, and date of death).

- Kathleen Mojave (Sister)


Age: 52
Address: 707 SE 7th Ave, Plantation, Florida 33312

5. Grandparents. (Provide name, age, and address; or if deceased, provide name, indicate
deceased, and date of death).
- N/A

6. Aunts and Uncles of the Decedent. (Provide name, age, and address; or if deceased, provide
name, indicate deceased, and date of death).
- N/A

7. Kindred of last deceased spouse (ONLY IF filing intestate and is not previously listed
above). (Provide name, age, and address; or if deceased, provide name, indicate deceased, and
date of death)
- N/A

I, Elizabeth Burton, the Affiant, am the Personal Representative.

UNDER PENALTY OF PERJURY, I SWEAR OR AFFIRM THAT I HAVE READ THE


FOREGOING AFFIDAVIT OF HEIRS AND THE FACTS STATED HEREIN ARE
TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.

Elizabeth Burton, Affiant


STATE OF FLORIDA
COUNTY OF BROWARD
The foregoing instrument was acknowledged before me by means of [ ] physical presence
or [ ] online notarization, on ______________ , 2024, ____________________________, who is
personally known to me _______________ or who produced ___________ as identification.

Notary Public State of Florida

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