Affidavit of Death Template
This Affidavit of Death is designed to comply with the laws of [State Name]. Please ensure all information is accurate and complete before submission.
Affidavit of Death
I, [Affiant's Full Name], being duly sworn, hereby declare the following:
- Deceased Information:
- Full Name of Deceased: [Deceased's Full Name]
- Date of Birth: [Deceased's Date of Birth]
- Date of Death: [Deceased's Date of Death]
- Place of Death: [Place of Death]
- Affiant Information:
- Full Name: [Affiant's Full Name]
- Relationship to Deceased: [Relationship]
- Address: [Affiant's Address]
- Phone Number: [Affiant's Phone Number]
- Declaration:
I declare that the information contained in this affidavit is true and correct to the best of my knowledge.
- Witness Statement:
As a witness to this event, I affirm that I have no personal interest in the estate of the deceased.
- Notary Acknowledgment:
This affidavit must be signed in the presence of a notary public for validation.
Executed this [Day] day of [Month], [Year], in [City, County], [State].
_____________________________
[Affiant's Signature]
_____________________________
[Notary Public Signature]
My commission expires: [Expiration Date]