This form is an affidavit in which the affiant is the surviving tenant and former spouse in a joint tenancy, or tenancy by the entireties, with the decedent. The form is used to establish the death of the decedent and the succession of the affiant to the interest of the decedent as a result of the joint interest.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.