Affidavit of Death

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1General Info

2 Affiant

3Decedent

4Final Details

Location

Where will the Affiant sign the Affidavit?

Location

CountryState

County:

Deceased person (Decedent)

What is the name of the decedent?

What was the decedent's date of death?

What is the decedent's social security number?

What was the decedent's legal residence?

(e.g. Street, City, State, Zip Code)

For how many years did the decedent reside at this address?

e.g.(10,20 etc..)

Purpose

Why is this Affidavit being created?

To transfer title to the Decedents real property

To retrieve money or investments held by the Decedent at a bank or other location

Signing date

When will this Affidavit be signed?