California Affidavit of Death
This document serves as a formal declaration verifying the death of an individual, pursuant to the provisions of the California Probate Code. This affidavit is intended to notify financial institutions, courts, and other relevant entities of the individual's passing and to facilitate the transfer of ownership or to claim benefits.
State of California
County of ________________________
I, _________________________________________, residing at ________________________________________________________, being duly sworn, declare under penalty of perjury under the laws of the State of California that:
- The Decedent, ______________________________________, passed away on ______________________.
- The Decedent's date of birth was ______________________.
- I am the legal successor of the Decedent or have a vested interest in the estate due to ______________________________________ (describe relationship or interest).
- At the time of death, the Decedent resided at ________________________________________________________.
- A certified copy of the Decedent’s Death Certificate is attached to this affidavit.
- This affidavit is executed to notify financial entities, claim benefits, or for the transfer of the Decedent’s property to which I am legally entitled.
- No other person has a superior right to the interest of the Decedent’s described property.
- The legal description of the property or the nature of the property to be transferred or claimed is as follows: ________________________________________________________.
- I affirm under penalty of perjury that the foregoing is true and correct to the best of my knowledge.
Date: _______________________
Signature: _______________________________
Printed Name: _____________________________
State of California
County of ____________________
Subscribed and sworn to (or affirmed) before me on this ____ day of ____________, 20____ by ______________________________________, proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
Notary Public: _____________________________
Seal:
This form is for informational purposes and may require additional information based on the specific circumstances. It is advisable to seek legal counsel to ensure compliance with state laws and regulations.