Free affidavit of death 46Free affidavit of death 46Free affidavit of death 46
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AFFIDAVIT OF DEATH

AND HEIRSHIP
Of

(print name of deceased person)
I,

,
(print name of person completing form)

being first duly sworn upon oath depose
and state:
For Recording Purposes Only

That I was personally acquainted with
(print name of deceased person)

hereinafter referred to as “the Deceased”
for
years, and held the following relationship to the Deceased:
That the Deceased departed this life in the City of
the State of
, on or about the
day of
was
years old at the date of death;

;
(i.e. parent, brother, sister, spouse, friend, etc.)

, the County of
, in the year

, and
. The Deceased

That I am well acquainted with the family of the Deceased and with those who would be the heirs of the Deceased.
That the following statements or answers are based upon my personal knowledge and are true and correct:
PART I - GENERAL INFORMATION
1. Did the Deceased leave a Will? IF YES, A COMPLETE COPY OF THE WILL IS ATTACHED..
2. Has there been a court proceeding concerning the estate of