New York Affidavit of Death
New York Affidavit of Death
I, [YOUR NAME], being duly sworn, depose and state as follows:
Statement of Facts
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I am of legal age and competent to make this affidavit.
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[DECEASED PERSON'S NAME] (hereinafter referred to as the "Decedent") passed away on [DATE OF DEATH], in the County of [COUNTY NAME], State of New York.
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The Decedent was domiciled in [CITY/TOWN NAME], County of [COUNTY NAME], State of New York, at the time of their decease.
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The Decedent's date of birth was [DATE OF BIRTH] as indicated in their birth certificate.
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The Decedent is survived by their family and relatives, as set forth in the attached roster of heirs.
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A true and complete copy of the Decedent's death certificate, identified as Exhibit A, is annexed hereto and hereby affirmed for its accuracy and genuineness.
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It is hereby certified that the Decedent's estate has been duly administered and all outstanding obligations have been settled to the best of my knowledge.
Sworn Oath
I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief.
Executed this [Day] day of [Month], [Year] at [Location].
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 New York
My Commission Expires: [Expiry Date]
