South Carolina Affidavit of Death

State of South Carolina

County of [County Name]

I, [Your Name], being duly sworn, depose and state as follows:

Statement of Facts

1. I declare that I am of lawful age and capable of making this affidavit.

2. I stand as the [Relationship to Deceased] of [Deceased's Name] and possess direct knowledge of the circumstances described herein.

3. [Deceased's Name] passed away on [Date of Death], in the town of [Town Name], County of [County Name], State of South Carolina.

4. The death of [Deceased's Name] is officially recorded in the vital records maintained by the South Carolina Department of Health and Environmental Control.

5. Attached herewith is a true and accurate copy of the death certificate issued for [Deceased's Name] by the appropriate authorities.

Sworn Oath

I, as the affiant, assert under penalty of perjury that the statements provided above are true and correct to the best of my knowledge.

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 South Carolina

My Commission Expires: [Expiry Date]

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