FEE: $10.00
REGISTRATION OF CLAIM OF RIGHTS AS SUCCESSOR -IN- INTEREST
Pursuant to Title 12 Oklahoma Statutes §1448. DECEASED PERSONALITY Name: Legal Name or other name(s) if desired:
Date of death: CLAIMANT OF DECEASED PERSONALITY Name of Claimant: Address of Claimant:
I make this claim as successor-in-interest on the basis that I am the surviving: ( ) spouse ( ) issue ( ) parent ( ) other in accordance with Section 213 of Title 84 of the Oklahoma Statutes OR that property rights of said deceased personality have been transferred to me by: ( ) contract ( ) trust ( ) testamentary document. % Percentage interest claimed: ( ) 100% ( ) 50% ( ) 25% ( ) other The above percentage is claimed in ( ) all rights OR ( ) limited rights as described as follows:
I declare under penalty of perjury, under the laws of the State of Oklahoma that the foregoing is true and correct.
Dated: Signature of Claimant County of State of Name of Claimant (TYPED) This instrument was acknowledged before me on this day of , . By
My Commission Expires: (Signature of notarial officer) (Seal, if any)
SOSFORM 0088 (11/99)