Free Ohio Affidavit of Death Template

Ohio Affidavit of Death

Introduction

I, [YOUR NAME], of legal age, residing at [YOUR ADDRESS], in the County of [COUNTY NAME], State of Ohio, being of sound mind and under no duress, do hereby declare this Affidavit of Death to transfer assets of the deceased, [DECEASED'S NAME], who passed away on [DATE OF DEATH].

Statement of Facts

  1. I am [RELATIONSHIP TO DECEASED], and I have personal knowledge of the facts stated herein.

  2. [DECEASED'S NAME], the decedent, was a resident of [DECEASED'S ADDRESS], in the County of [COUNTY NAME], State of Ohio, at the time of their death.

  3. The decedent passed away on [DATE OF DEATH], as confirmed by the attached Death Certificate.

  4. The decedent's assets, including but not limited to [LIST OF ASSETS], require transfer to the beneficiaries as per the decedent's will or applicable state laws.

Sworn Oath

I solemnly swear under penalty of perjury that the statements made in this Affidavit of Death are true and correct to the best of my knowledge, information, and belief.

Signed this [DATE] day of [MONTH], [YEAR].

[YOUR NAME]

Affiant


Notarization

Sworn to and subscribed before me on this [DATE] day of [MONTH], [YEAR], by [YOUR NAME], who is personally known to me or who has produced [TYPE OF IDENTIFICATION] as identification.

[NOTARY PUBLIC STAMP]

Notary Public: [NOTARY PUBLIC NAME]

My Commission Expires: [EXPIRATION DATE]

Affidavit Templates @ Template.net