California Affidavit of Death
This Affidavit of Death is prepared in accordance with California state law, specifically under California Probate Code Sections 1300-1307.
Affidavit of Death
I, the undersigned, hereby declare as follows:
- Declarant's Information:
- Name: ____________________________
- Address: ____________________________
- Phone Number: ____________________________
- Email: ____________________________
- Deceased's Information:
- Name: ____________________________
- Date of Birth: ____________________________
- Date of Death: ____________________________
- Address at Time of Death: ____________________________
- Declarant's Relationship to Deceased: ____________________________
- Affirmation: I affirm that I am knowledgeable about the following:
- The deceased passed away on the date mentioned above.
- The information provided herein is true and correct to the best of my knowledge.
- No other affidavits regarding their death have been made.
- Signature: ______________________________________
- Date: _______________
This affidavit is executed under penalty of perjury under the laws of the State of California.
Notary Public:
State of California
County of ____________________________
Subscribed and sworn to before me, on this ____ day of _______________, 20___.
____________________________________
Notary Public Signature
My Commission Expires: _______________