State of Florida

County of [COUNTY NAME]

I, [YOUR NAME], being duly sworn, depose and state as follows:

1. I am over the age of 18 and am competent to make this affidavit.

2. [DECEDENT'S NAME], hereinafter referred to as the "Decedent," passed away on [DECEDENT'S DEATH DATE], in [COUNTY NAME], Florida.

3. To the best of my knowledge, the Decedent did not leave a Last Will and Testament, nor has any will been presented for probate in any court.

4. I am a family member of the Decedent and have personal knowledge of the family and heirs of the Decedent.

5. The heirs of the Decedent, as known to me, are as follows:

   • [HEIR'S NAME]: [RELATION TO DECEDENT]

6. We, the undersigned heirs, hereby affirm that we are the lawful heirs of the Decedent and are entitled to receive any insurance proceeds, pension benefits, or other assets belonging to the Decedent.

7. We authorize and request all financial institutions, insurance companies, pension administrators, and other relevant entities to recognize and accept this Affidavit of Heirship as evidence of our legal right to receive any assets due to the Decedent's estate.

8. We indemnify and hold harmless any institution or individual who acts in reliance on this Affidavit of Heirship.

9. We understand the consequences of making false statements in this affidavit and affirm that the information provided herein is true and accurate to the best of our knowledge.

[YOUR NAME]

Sworn to and subscribed before me on this [DATE].

[NOTARY PUBLIC'S NAME]

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