Affidavit of Surviving Joint Tenant - Pennsylvania

Pennsylvania Affidavit of Surviving Joint Tenant

Prepared by: [NAME AND MAILING ADDRESS]

After recording, return to: [NAME AND MAILING ADDRESS]

Property: [STREET ADDRESS], [MUNICIPALITY], [COUNTY] County, Pennsylvania

County parcel identifier: [UPI / PARCEL NUMBER / NOT APPLICABLE]

Vesting deed: [DATE], recorded as [INSTRUMENT NUMBER OR BOOK AND PAGE] in [COUNTY] County

Affidavit

I, [SURVIVING JOINT TENANT’S FULL LEGAL NAME], of [COMPLETE ADDRESS], being duly sworn, state as follows:

1. I am an owner named in the vesting deed identified above. A copy of that deed is attached as Exhibit A. The real property is described in full in Exhibit B.

2. The vesting deed names [DECEDENT’S FULL LEGAL NAME] and me as joint tenants with right of survivorship, using this exact language: “[QUOTE THE VESTING CLAUSE].” I have compared that clause with the attached recorded deed. This affidavit does not rely on a tenancy-in-common deed or on a multiple-party bank account.

3. [DECEDENT’S FULL LEGAL NAME] died on [MONTH DAY, YEAR] in [COUNTY, STATE]. A certified copy of the death certificate is attached as Exhibit C. The decedent is the same person named in Exhibit A because [IDENTIFY MATCHING NAME AND ANY DIFFERENCE EXPLAINED BY SUPPORTING RECORDS].

4. I reviewed the title documents available to me through [DATE], including [LIST DEEDS, AGREEMENTS, COURT ORDERS, OR TITLE REPORT]. I have no knowledge of a later deed, agreement, court order, or other event ending or changing the recorded survivorship interest, except [EXPLAIN / NONE]. I understand that this statement is limited to facts within my knowledge and the documents identified here.

5. Based on the attached deed and death record, I claim the surviving owner’s interest identified in that deed. I request that the Recorder of Deeds accept this affidavit and its exhibits for the property record if the county’s filing rules permit it. This affidavit supplies evidence; it does not itself transfer the decedent’s interest by a new deed.

6. My mailing address for tax and property notices is [COMPLETE ADDRESS]. Any separate estate, inheritance-tax, lien, or transfer reporting will be addressed with the responsible professional and office. No tax payment or title clearance is certified by this affidavit.

I affirm that these statements are true to the best of my personal knowledge, information, and belief.

Affiant signature: ______________________________

Printed name: [SURVIVING JOINT TENANT’S NAME]

Date: [__/__/____]

Jurat

Commonwealth or State of [________________]
County of [________________]

Subscribed and sworn to before me on [MONTH DAY, YEAR] by [AFFIANT NAME], who was satisfactorily identified.

Notarial officer signature: ______________________________
Printed name and title: [______________________________]
Commission expiration: [__/__/____]
Official seal or stamp: [________________]

Exhibit A — Recorded vesting deed

[ATTACH THE COMPLETE RECORDED DEED, INCLUDING ITS LEGAL DESCRIPTION AND RECORDING INFORMATION.]

Exhibit B — Complete legal description

[INSERT THE COMPLETE LEGAL DESCRIPTION FROM THE VESTING DEED AND IDENTIFY ANY LATER RECORDED CHANGE.]

Exhibit C — Death certificate

[ATTACH THE CERTIFIED COPY AND FOLLOW THE COUNTY’S RULES FOR SUBMITTING VITAL-RECORD DOCUMENTS.]