Free Georgia Affidavit of Death Template
Georgia Affidavit of Death
I, [Your Name], being of lawful age and sound mind, hereby solemnly affirm and state under penalty of perjury that:
Statement of Facts
-
[Deceased's Name], whose date of birth was [Date of Birth], passed away on [Date of Death], in the city of [City Name], County of [County Name], State of Georgia.
-
I am aware of the circumstances surrounding the death of [Deceased's Name], and I can attest to the fact that the passing occurred due to [Cause of Death].
-
I am the [Relationship to Deceased] of the deceased, and I have personal knowledge of the events leading to and following the death.
-
A death certificate issued by the vital records office in [County Name], Georgia, confirms the death of [Deceased's Name], and I have attached a certified copy of the same to this affidavit.
-
The deceased was a resident of [Deceased's Address] in [City Name], Georgia, and had no outstanding debts or legal obligations at the time of their passing, to the best of my knowledge.
-
I understand that the purpose of this affidavit is to provide formal notification and verification of the death of [Deceased's Name] for legal and administrative purposes.
Sworn Oath
I solemnly declare that all statements made herein are true and accurate 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 Georgia
My Commission Expires: [Expiry Date]
