AFFIDAVIT OF DEATH AND HEIRSHIP
being first duly sworn on oath, say that I am the
(state your relationship)
who died intestate on the
that at the time of his/her death, decedent was the owner of the following described property
Plumas-Sierra Rural Electric Capital Credits
That the decedent left surviving at the time of decedent’s death the following named person(s) who are all of
Decedent’s heirs at law.
A notary public or officer completing this certificate verifies only the identity of the individual who
signed the document to which this certificate is attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of ___________________________________________
On _________________________________________, before me, ___________________________________________________
Here insert Name and Title of the Officer