Notary Affidavit For Legal Heir Certificate

I. Introduction

This affidavit is made on this [Date] by [Your Name], residing at [Your Company Address], before me, [Notary Public Name], a Notary Public in and for the State of [Your State], duly commissioned and sworn.

II. Purpose of Affidavit

The purpose of this affidavit is to establish the legal heirs of the deceased, [Deceased Name], for obtaining a Legal Heir Certificate.

III. Deceased Information

• Name of the Deceased: [Deceased Name]

• Date of Death: [Date of Death]

• Place of Death: [Place of Death]

• Last Address of Residence: [Last Address of Residence]

IV. Legal Heirs Information

The undersigned, [Your Name], hereby declares under oath the following information about the legal heirs of the deceased:

A. Spouse

• Name: [Spouse Name]

• Relationship to Deceased: Spouse

• Date of Marriage: [Date of Marriage]

B. Children

1. First Child:

   • Name: [First Child's Name]

   • Date of Birth: [First Child's Date of Birth]

2. Second Child:

   • Name: [Second Child's Name]

   • Date of Birth: [Second Child's Date of Birth]

C. Other Legal Heirs

• Name: [Name of Other Legal Heir]

• Relationship to Deceased: [Relationship to Deceased]

V. Witnesses

The undersigned affiant acknowledges that [Number of Witnesses] witnesses were present at the time of signing this affidavit and that their names and addresses are as follows:

1. Witness 1:

   • Name: [Name of Witness 1]

   • Address: [Address of Witness 1]

2. Witness 2:

   • Name: [Name of Witness 2]

   • Address: [Address of Witness 2]

VI. Signature

I, [Your Name], hereby affirm that the statements made in this affidavit are true and correct to the best of my knowledge, information, and belief, and that I understand they are made subject to the penalties of perjury.

[Your Name]

Sworn to and subscribed before me this [Date].

[Notary Public Name]
Notary Public
[Your State]
My commission expires: [Expiration Date]

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