Rhode Island Affidavit of Death

Rhode Island Affidavit of Death

Introduction

I, [YOUR NAME], of legal age, residing at [YOUR ADDRESS], being duly sworn, depose and state as follows:

Statement of Facts

  1. I am the [RELATIONSHIP TO DECEASED] of [DECEASED'S NAME], who passed away on [DATE OF DEATH], as evidenced by the attached Death Certificate.

  2. [DECEASED'S NAME] was a resident of [COUNTY NAME], Rhode Island at the time of their death.

  3. I am familiar with the circumstances surrounding the death of [DECEASED'S NAME] and can attest to its accuracy.

  4. [DECEASED'S NAME] had accounts with the following institutions:

    • [INSTITUTION NAME], [ACCOUNT NUMBER], [TYPE OF ACCOUNT]

    • [INSTITUTION NAME], [ACCOUNT NUMBER], [TYPE OF ACCOUNT]

    • Continue as needed.

  5. I am seeking to close the aforementioned accounts to settle the affairs of [DECEASED'S NAME] and distribute their assets according to law.

Sworn Oath

I do solemnly swear under penalty of perjury that the foregoing statements are true and correct to the best of my knowledge, information, and belief.

[YOUR NAME]

Affiant


Subscribed and sworn to before me this [DATE] day of [MONTH], [YEAR].

Notary Public

My Commission Expires: [COMMISSION EXPIRY DATE]

[NOTARY SEAL]

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