Deed Intake
Deed Intake
Deed Intake
City: County:
Phone #: Email:
City: County:
If widowed, please list the name and date of death of said spouse:
DOD:
Please provide the names and relationships of the heirs to the estate of
the deceased spouse:
Heir #1:
Address:
City: State: Zip Code:
Telephone: Date of Birth:
Heir#2:
Address:
City: State: Zip Code:
Telephone: Date of Birth:
Heir #3:
Address:
City: State: Zip Code:
Telephone: Date of Birth:
City: County:
Phone #: Email: