How Do You Get a Death Certificate?
A death certificate can be obtained at the local county records office (where the person died) or at the state’s Bureau of Vital Statistics office.
By Type (4)
Download: PDF
Download: PDF
Download: PDF
Download: PDF
Sample
AFFIDAVIT OF DOMICILE
State of [STATE]
County of [COUNTY]
Date: [DATE]
I. CLAIMANT.
I, [CLAIMANT NAME] (“Claimant”), with a mailing address of [ADDRESS], declares to be the Decedent’s:
(check one)
☐ – Executor / Administrator of the Estate
☐ – Spouse
☐ – Beneficiary
☐ – Surviving Joint Tenant
☐ – Other. [DESCRIBE OTHER]
II. DECEASED.
[DECEDENT NAME] (“Decedent), with a mailing address of [ADDRESS], who died on [DATE].
III. PURPOSE.
The purpose of this Affidavit is to retrieve transfer and take possession of the following accounts and property: [DESCRIBE]
Claimant’s Signature: ____________________ Date: ______________
Print Name: _________________________ Date: ______________