Affidavit of Death
This Affidavit of Death is designed to provide a legal declaration regarding the death of the individual named below, in accordance with the laws of the state of [State Name].
Affidavit Details
I, [Your Full Name], of [Your Address], hereby declare under oath that:
- The deceased, [Decedent's Full Name], was an individual known to me.
- The date of death of the deceased was [Date of Death].
- The place of death of the deceased was [Place of Death].
- The decedent resided at [Decedent's Last Address] at the time of death.
- The cause of death is recorded as [Cause of Death] as per the certificate issued by [Issuing Authority].
Additional Information
Attached to this affidavit is:
- A certified copy of the death certificate.
- Any additional documentation pertinent to the decedent's estate, if applicable.
This affidavit is executed for the purpose of establishing the fact of death and for its legal implications as needed.
In witness whereof, I have hereunto set my hand this [Day] day of [Month], [Year].
Signature: _________________________________
Printed Name: [Your Full Name]
Notary Public: _________________________________
Commission Number: [Commission Number]
My Commission Expires: [Expiration Date]
Notary Public in and for said State.