Personally appeared and, on their oath, did swear or affirm to the accuracy of the following facts, 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the decedent's name and date of death in Section A. Ensure that all details are accurate as this forms the basis of your affidavit.
3. In Section B, confirm that more than 30 days have passed since the decedent's death. This is crucial for eligibility under Texas law.
4. Complete Section C by stating the county of residence at the time of death. If it's not Montgomery County, provide supporting facts for venue.
5. Proceed to Sections D through H, filling in details about whether a will exists and any Medicaid benefits received. Be thorough in listing assets and liabilities in Sections I and J.
6. In Sections K through L, provide family history and distributee information accurately. This ensures proper distribution of assets according to Texas law.
7. Finally, gather signatures from all distributees and witnesses as required at the end of the document. Ensure each signature page includes necessary statements.

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