Texas Affidavit of Death
This Affidavit of Death is created pursuant to Texas law, specifically under the provisions of the Texas Estates Code.
Affidavit of Death
State of Texas
County of _______________
I, the undersigned, being first duly sworn, do hereby depose and state:
- Name of Deceased: ____________________________________________________
- Date of Death: ________________________________________________________
- Place of Death (City and County): _____________________________________
- Relationship to Deceased: _____________________________________________
The Deceased had the following last known address:
______________________________________________________
Declaration:
1. I am competent to make this affidavit.
2. I have personal knowledge of the facts stated herein.
3. I confirm that the above information is true and correct to the best of my knowledge.
Further Affiant sayeth not.
Executed this _____ day of ______________, 20___.
_______________________________
Signature of Affiant
_______________________________
Printed Name of Affiant
Address: ______________________________________________________________
City, State, Zip: _____________________________________________________
Phone Number: ________________________________________________________
Subscribed and sworn to before me this _____ day of ______________, 20___.
_______________________________
Notary Public, State of Texas
My Commission Expires: ________________________________________________