Form 53 111 B PDF Details

The Form 53 111 B, also known as the Employer’s Quarterly Federal Tax Return, is a document that must be filed by all employers with the IRS each quarter. The form is used to report wages and taxes withheld from employees during the quarter. Filing this form on time helps ensure that taxes are properly withheld and paid to the IRS. Penalties may be assessed for late or incorrect filings. For more information on how to complete and file this form, please consult your tax advisor or visit the IRS website.

QuestionAnswer
Form NameForm 53 111 B
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names53 111 a, affidavit of heirship texas property, form 53 111 a instructions, affidavit of heirship

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53-111-B (Rev.4-07/3)

AFFIDAVIT OF HEIRSHIP

Reported owner name:

Claim number:

This Affidavit must be completed by a third disinterested party (Affiant) who will not benefit from the decedent’s estate. Do not complete this form if the decedent left a will that was probated in court or there has been some other type of court determina- tion to the estate.

Affidavit of facts concerning the identity of Heirs for the Estate of: _____________________________________________

Before me, the undersigned authority, on this day personally appeared: ________________________________________

(“Affiant”) who, being first duly sworn, upon his/her oath states:

1.My name is: ___________________________________________________________________________________ .

I live at: _______________________________________________________________________________________

I am personally familiar with the family and marital history of: ______________________________________________

(Decedent), and I have personal knowledge of the facts stated in this Affidavit.

2.I knew the decedent from ________________ until ________________ Decedent died on ______________________ .

Decedent’s place of death: ________________________________________________________________________

At the time of decedent’s death,

CITY

STATE

COUNTY

 

 

 

decedent’s residence was: ________________________________________________________________________

CITY

STATE

COUNTY

3.Provide the following information on the deceased’s marital history:

(If never married, please state that below.)

NAME OF SPOUSE

DATE OF

MARRIAGE

DATE OF DIVORCE

DATE OF

SPOUSE’S DEATH

4.Provide the following information on the deceased’s natural born and adopted children:

(If there are none, please state that below. If additional space is needed, please provide information as an attachment.)

 

 

 

 

 

 

 

 

NAME OF CHILD/

 

 

 

 

 

 

 

 

DATE OF

NAME OF CHILD’S

DATE OF

 

 

 

 

 

 

CURRENT ADDRESS

 

 

 

 

 

 

 

 

BIRTH

OTHER PARENT

CHILD’S DEATH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

Provide the following information on the deceased’s grandchildren, born only to the deceased children in Item 4, above:

 

(If there are none, please state that below.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF CHILD/

 

 

 

 

 

 

 

 

DATE OF

 

 

 

 

 

 

 

 

NAME OF GRANDCHILD’S

 

 

 

 

 

 

 

 

 

 

 

 

CURRENT ADDRESS

 

 

 

 

 

 

 

 

 

 

BIRTH

 

 

 

 

 

 

 

 

 

 

DECEASED PARENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

If the decedent never married and did not have any children, provide the following information on the deceased’s parents:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DECEASED’S

 

 

 

PARENT’S NAME/

 

 

 

 

 

 

 

 

 

 

 

 

 

PARENT’S DATE

 

 

 

PARENTS

 

 

CURRENT ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

OF DEATH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MOTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FATHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form 53-111-B (Back)(Rev.4-07/3)

Reported owner name:

Claim number:

7.Provide the following information on the deceased’s brothers and/or sisters:

(If there are none, please state that below.)

NAME OF CHILD/

CURRENT ADDRESS

DATE OF

BIRTH

BROTHER’S OR SISTER’S

DATE OF DEATH

8.Provide the following information on the deceased’s nieces and/or nephews born only to the deceased brothers/sisters in Item 7, above:

(If there are none, please state that below. If additional space is needed, please provide information as an attachment.)

NAME OF NIECE OR NEPHEW/

CURRENT ADDRESS

DATE OF

BIRTH

NAME OF NIECE OR NEPHEW’S

DECEASED PARENT

Signed this ____ day of ____________________, ____________.

_____________________________________________________________________________________

(SIGNATURE OF AFFIANT)

State of _________________________

County of _______________________

Sworn to and subscribed to before me on _________________________________________________

(DATE)

by ________________________________________________________________________________

(NAME OF AFFIANT)

_____________________________________________________________________________________

(NOTARY SIGNATURE)

(Notary Seal)

My commission expires: _____ day of __________________, _______.

THIS AFFIDAVIT DOES NOT NEED TO BE FILED IN THE COUNTY CLERK’S RECORD.

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Tips to fill out affidavit of heirship texas 53 111 b part 1

2. Once your current task is complete, take the next step – fill out all of these fields - NAME OF SPOUSE, DATE OF, MARRIAGE, DATE OF DIVORCE, DATE OF, SPOUSES DEATH, Provide the following information, If there are none please state, NAME OF CHILD, CURRENT ADDRESS, DATE OF, BIRTH, NAME OF CHILDS, OTHER PARENT, and DATE OF with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Simple tips to fill in affidavit of heirship texas 53 111 b step 2

3. Completing DECEASEDS, PARENTS, MOTHER, FATHER, PARENTS NAME, CURRENT ADDRESS, PARENTS DATE, and OF DEATH is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

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Concerning FATHER and MOTHER, be sure that you don't make any errors in this section. The two of these could be the key ones in this form.

4. This next section requires some additional information. Ensure you complete all the necessary fields - Form B BackRev, Reported owner name, Claim number, Provide the following information, If there are none please state, CURRENT ADDRESS, DATE OF, BIRTH, BROTHERS OR SISTERS, DATE OF DEATH, Provide the following information, Item above If there are none, NAME OF NIECE OR NEPHEW, CURRENT ADDRESS, and DATE OF - to proceed further in your process!

Completing section 4 of affidavit of heirship texas 53 111 b

5. To conclude your form, the last part includes a few extra fields. Filling in Signed this day of, SIGNATURE OF AFFIANT, State of, County of, Sworn to and subscribed to before, DATE, NAME OF AFFIANT, and NOTARY SIGNATURE will certainly wrap up everything and you can be done in a tick!

The right way to fill out affidavit of heirship texas 53 111 b step 5

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