Texas Affidavit of Death
This document serves to formally notify concerned parties of the death of an individual, in compliance with the relevant statutes of the State of Texas. By completing and submitting this affidavit, the below-signed affiant asserts their legal standing and relationship to the decedent, providing a certified death certificate to corroborate the details herein stated.
Affiant Information
Full Name of Affiant: ___________________________________________
Physical Address: ______________________________________________
City, State, Zip: _______________________________________________
Relationship to Decedent: _______________________________________
Phone Number: __________________________________________________
Email Address: _________________________________________________
Decedent Information
Full Name of Decedent: __________________________________________
Date of Death: __________________________________________________
Place of Death: _________________________________________________
Last Known Address: _____________________________________________
Death Certificate
The affiant hereby asserts that the death of the above-named decedent has been officially recorded with a death certificate issued by the appropriate authority. A certified copy of the death certificate is attached hereto as part of this affidavit.
Statement of Truth
I, the undersigned, declare under penalty of perjury under the laws of the State of Texas that the foregoing is true and correct to the best of my knowledge, information, and belief. I understand that this affidavit is being made for the purpose of requesting the lawful transfer of assets, resolution of estate matters, or other such actions necessitated by the death of the aforementioned decedent.
Execution
Date: ________________________________________
Signature of Affiant: ___________________________
Notary Public
This document was acknowledged before me on ________________________ (date) by ________________________ (name of affiant), who has satisfactorily identified themselves and whom I believe to be of sound mind and fully capable of making this affidavit.
Name of Notary: ___________________________________
Commission Number: _________________________________
Expiration Date: ____________________________________
Notary Signature: ___________________________________