Form OHA-7 Data for heirship finding and family history

OHA-7 Final V1.3

Page 1

2011

Probate Number: P

UNITED STATES DEPARTMENT OF THE INTERIOR
OFFICE OF HEARINGS AND APPEALS
HEARING DIVISION
DATA FOR HEIRSHIP FINDING AND FAMILY HISTORY
NAME OF DECEDENT (Give all names by which decedent was known):
Decedent SSN:
Sex:

IIM Account Number:
Tribe:

and Allotment or Indian ID No.

Deg. of Blood:
Additional Numbers: TRIBAL ENROLLMENT NUMBER Date of Birth:

Certificate Attached:

Date of Death:

Place:

Certificate Attached:

Last Place of Residence:
Death Determined to be:

MARRIAGES
Married

Names

Date

Date of
Birth

How

Date of
Death

Divorced
Date

How

CHILDREN
Names

WI/WOI

Sex

WI/WOI

Sex

Degree of
Blood

Date of
Birth

Name of Other Parent

Date of
Death

Tribe & AL /
ID # or NonIndian

Degree of
Blood

Date of
Birth

Name of Both Parents

Date of
Death

Tribe & AL /
ID # or NonIndian

Degree of
Blood

Tribe & AL / ID #
or Non-Indian

Degree of
Blood

Tribe & AL or
ID #

Degree of
Blood

CHILDREN OF DECEASED CHILDREN
Names

Tribe & AL /
ID # or NonIndian

PARENTS
Names

WI/WOI

Married
Date

Date of
Birth

Date of
Death

Divorced
Date

Divorced
How

BROTHERS AND SISTERS
Names

OHA7_Final_V1_3

WI/WOI

Sex

Date of
Birth

Names of Both Parents

Date of
Death

OMB Control No: 1076-0169
Expiration xx/xx/xxxx

OHA-7 Final V1.3

Page 2

2011

Probate Number: P

CHILDREN OF DECEASED BROTHERS AND SISTERS
WI/
WOI

Names

Sex

Date of
Birth

Date of
Death

Names of Both Parents

Tribe & AL or
ID #

Degree of
Blood

Tribe & AL
or ID #

Degree of
Blood

GRANDPARENTS
Names

WI/
WOI

Married
Date

Married
How

Date of
Birth

Date of
Death

Divorced
Date

Divorced
How

COLLATERAL RELATIVES
Names of Nearest
Relatives Who
Survived
Decedent

WI/
WOI

Date of
Birth

If Dead, Give
Date and
Surviving Family

Names of Both Parents

How Related
Degree

Ancestry

Tribe & AL
or ID #

Degree
of Blood

ADDITIONAL INFORMATION
WILL INFORMATION
Date will was executed:

(Give date and forward all copies to Administrative Law Judge. If no will, indicate “None.”
Please list all wills executed by decedent in inverse order of execution.)

SCRIVENER/WITNESSES/NOTARY TO LATEST WILL AND ADDRESSES
Names

Address

BENEFICIARIES
Names of Beneficiaries

OHA7_Final_V1_3

Date of
Birth

Tribe &
AL

How
Related

OMB Control No: 1076-0169
Expiration xx/xx/xxxx

Deg. of
Blood

OHA-7 Final V1.3

Page 3

2011

Probate Number: P

PERSONAL PROPERTY
Account

DOD Balance

DOS Balance

DOH Balance

Description & Source

Where Deposited

REAL PROPERTY (List attached sheet number. If none, indicate “None”.)
# of Tracts

(To be FURNISHED BY Area Title Offices or appropriate entity Reservation Code)

Estimated Value

ADOPTIONS
Give names, dates of adoptions, whether tribal court, names of natural parents and adoptive parents with blood quantum of both. (If there is a volume
number and page of adoption, so indicate.)
Names

Date of
Adoption

Tribal Court

Adoptive Mother

Adoptive Father

Natural Mother

Natural Father

Volume
No.

Page No.

CLAIMS
Claimant

Address

Amount

INTERESTED PARTIES, BENEFICIARIES, CREDITORS, AGENCIES, WITNESSES
Give names, and addresses of all heirs at law if a will was executed, names and addresses of all beneficiaries, witnesses to will, agency, and creditors.
If any are minors, give name and address of legal guardian or custodian.
Names

OHA7_Final_V1_3

Address

OMB Control No: 1076-0169
Expiration xx/xx/xxxx

OHA-7 Final V1.3

Page 4

2011

Probate Number: P

INTERESTED PARTIES, BENEFICIARIES, CREDITORS, AGENCIES, WITNESSES
Give names, and addresses of all heirs at law if a will was executed, names and addresses of all beneficiaries, witnesses to will, agency, and creditors.
If any are minors, give name and address of legal guardian or custodian.
Names

Address

I hereby certify that at this date the information contained herein is a full, true and complete summary of the records of this
agency as to the matters set forth.
Date

Name of Preparer

Address of Preparer:
City, State, Zip:
Phone:

Paperwork Reduction Act Statement: We are collecting this information subject to the Paperwork Reduction Act (44 U.S.C. 3501).
We estimate the form will take you 0.5 hours to 4.5 hours to complete, including time to read instructions, gather information, and
complete. You may submit comments on any aspect of this information collection to the Information Collection Clearance Officer, Office
of Regulatory Affairs & Collaborative Action—Indian Affairs (RACA), U.S. Department of the Interior, 1001 Indian School Road NW,
Suite 229, Albuquerque, NM 87104. Your response is voluntary and required only to obtain a benefit; and we will not share the results
publicly. We may not conduct or sponsor and you are not required to respond to a collection of information unless it displays a currently
valid OMB Control Number.
Privacy Act Statement: For this collection, we use limited automated, electronic, mechanical, or other technological collection
techniques or other forms of information technology by using the ProTrac system Trust Asset and Accounting Management System
(TAAMS) and Trust Fund Accounting System (TFAS) to maintain records relevant to probate. There are several Privacy Act system of
records notices related to probate records and include: BIA-27 Bureau of Indian Affairs Probate Files, [72 FR 8767 (February 27,
2007)]; BIA-04 Trust Asset and Accounting Management System—Interior [79 FR 68292 (November 14, 2014)]; and BIA-25 Integrated
Records Management System (IRMS) [72 FR 8769 (February 27, 2007)]. Another Privacy Act system of records relevant to probate:
OS-02, Individual Indian Monies (IIM) Trust Funds [84 FR 44321 (August 23, 2019)].

OHA7_Final_V1_3

OMB Control No: 1076-0169
Expiration xx/xx/xxxx