"Affidavit of Survivorship" - Montana

Affidavit of Survivorship is a legal document that was released by the Montana Department of Livestock - a government authority operating within Montana.

Form Details:

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  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Montana Department of Livestock.

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Download "Affidavit of Survivorship" - Montana

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AFFIDAVIT OF SURVIVORSHIP
STATE OF MONTANA
RETURN TO:
MONTANA DEPARTMENT OF LIVESTOCK
COUNTY OF _________________
PO BOX 202001
HELENA, MT 59620-2001
__________________________________________, BEING FIRST DULY SWORN, DEPOSES AND SAYS;
(NAME OF SURVIVING HEIR)
THAT (HE, SHE) IS THE SURVIVING ________________ OF ____________________________________, WHO DIED ON
(SPOUSE, CHILD, HEIR)
(NAME OF DECEDENT)
_____-______-________ AT _________________________________. THE UNDERSIGNED IS THE CLOSEST NEXT OF KIN.
(DATE OF DEATH)
(CITY AND STATE WHERE DEATH OCCURRED)
THAT THE DECEASED OWNED NO ESTATE NECESSITATING ADMINISTRATION. THEREFORE, THERE IS NO ESTATE OR
PROBATE PROCEEDINGS BEING CONDUCTED FOR (HIS, HER) ESTATE. FURTHER THE BRAND OR BRANDS:
DRAW
POSITION ON CATTLE
BRAND
POSITION ON HORSES
HERE
POSITION ON SHEEP
PAINT COLOR
POSITION ON OTHER (SPECIFY)
IS OF NO INTEREST TO ME, AND I GIVE MY APPROVAL THAT IT BE TRANSFERRED TO:
(NEW BRAND OWNER NAME)
(NEW BRAND OWNER ADDRESS)
(NEW BRAND OWNER CITY, STATE, ZIP)
-
- 20
DATE:
__
_
SIGNATURE(S): _______________________________________________________________________________
(SIGNATURE OF SURVIVING HEIR)
STATE OF MONTANA COUNTY OF _________________ SIGNED BEFORE ME ON ___________ BY ________
SIGNATURE OF NOTARY_____________________________________________
MONTANA NOTARIES MUST COMPLETE THE FOLLOWING IF NOT PART OF STAMP AT LEFT:
PRINTED NAME OF NOTARY______________________________________________________________
NOTARY PUBLIC FOR THE STATE OF_______________________________
RESIDING AT_______________________________
-
-20
_
MY COMMISSION EXPIRES
(AFFIX NOTARIAL SEAL/STAMP ABOVE)
AFFIDAVIT OF SURVIVORSHIP
STATE OF MONTANA
RETURN TO:
MONTANA DEPARTMENT OF LIVESTOCK
COUNTY OF _________________
PO BOX 202001
HELENA, MT 59620-2001
__________________________________________, BEING FIRST DULY SWORN, DEPOSES AND SAYS;
(NAME OF SURVIVING HEIR)
THAT (HE, SHE) IS THE SURVIVING ________________ OF ____________________________________, WHO DIED ON
(SPOUSE, CHILD, HEIR)
(NAME OF DECEDENT)
_____-______-________ AT _________________________________. THE UNDERSIGNED IS THE CLOSEST NEXT OF KIN.
(DATE OF DEATH)
(CITY AND STATE WHERE DEATH OCCURRED)
THAT THE DECEASED OWNED NO ESTATE NECESSITATING ADMINISTRATION. THEREFORE, THERE IS NO ESTATE OR
PROBATE PROCEEDINGS BEING CONDUCTED FOR (HIS, HER) ESTATE. FURTHER THE BRAND OR BRANDS:
DRAW
POSITION ON CATTLE
BRAND
POSITION ON HORSES
HERE
POSITION ON SHEEP
PAINT COLOR
POSITION ON OTHER (SPECIFY)
IS OF NO INTEREST TO ME, AND I GIVE MY APPROVAL THAT IT BE TRANSFERRED TO:
(NEW BRAND OWNER NAME)
(NEW BRAND OWNER ADDRESS)
(NEW BRAND OWNER CITY, STATE, ZIP)
-
- 20
DATE:
__
_
SIGNATURE(S): _______________________________________________________________________________
(SIGNATURE OF SURVIVING HEIR)
STATE OF MONTANA COUNTY OF _________________ SIGNED BEFORE ME ON ___________ BY ________
SIGNATURE OF NOTARY_____________________________________________
MONTANA NOTARIES MUST COMPLETE THE FOLLOWING IF NOT PART OF STAMP AT LEFT:
PRINTED NAME OF NOTARY______________________________________________________________
NOTARY PUBLIC FOR THE STATE OF_______________________________
RESIDING AT_______________________________
-
-20
_
MY COMMISSION EXPIRES
(AFFIX NOTARIAL SEAL/STAMP ABOVE)