California Affidavit of Death
This affidavit is prepared following the laws of the State of California. It serves as a formal declaration of the death of an individual.
Affidavit of Death
State of California, County of __________.
I, the undersigned, declare as follows:
- Name of Deceased: _____________________________________
- Date of Death: ______________________________________
- Place of Death: ______________________________________
- Relationship to Deceased: _____________________________
- Address of Affiant: ___________________________________
- Phone Number: ________________________________________
I affirm that the statements made in this affidavit are true and accurate to the best of my knowledge and belief.
Signature of Affiant: ___________________________
Date: ________________________________________
Notary Public:
State of California
County of __________
Subscribed and sworn to (or affirmed) before me this ____ day of __________, 20__.
Signature of Notary: ___________________________
Notary Seal: