Arizona Affidavit of Death
ARIZONA AFFIDAVIT OF DEATH
I, [Your Name], being duly sworn, depose and state as follows:
Statement of Facts
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I am over the age of eighteen and competent to make this affidavit.
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I am the [Relationship to Deceased], having personal knowledge of the matters stated herein.
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[Deceased's Name], passed away on [Date of Death], in the city of [City Name], County of [County Name], State of Arizona.
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The death certificate issued by the Arizona Department of Health Services confirms the death of [Deceased's Name] on the aforementioned date.
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The Social Security Number of [Deceased's Name] is [Social Security Number].
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Attached herewith is a copy of the death certificate of [Deceased's Name] issued by the relevant authorities.
Sworn Oath
I solemnly affirm under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief.
Signature
[Your Name]
Affiant
Subscribed and sworn to before me this [Day] day of [Month], [Year].
[Notary Public's Name]
Notary Public for the State of Arizona
My Commission Expires: [Expiry Date]
