Free affidavit of death 44
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AFFIDAVIT OF DEATH AND HEIRSHIP
I,

being first duly sworn on oath, say that I am the
of
(state your relationship)

who died intestate on the
(Decedent)

day on
Month

Year

that at the time of his/her death, decedent was the owner of the following described property
Value of

1.

Plumas-Sierra Rural Electric Capital Credits

$0.00

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.
Relationship

Signature

Signature

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, ___________________________________________________
Date

Here insert Name and Title of the Officer

personally appeared
Name(s) o