I, [YOUR NAME], being of sound mind and legal age, do hereby swear and affirm under penalty of perjury that the following statements are true and correct to the best of my knowledge and belief:

1. I am the [RELATION TO DECEASED] of [DECEASED'S NAME], who passed away on [DECEASED'S DEATH DATE], in [COUNTY NAME], Iowa.

2. The deceased, [DECEASED'S NAME], was a resident of [COUNTY NAME], Iowa, at the time of their death.

3. To the best of my knowledge, [DECEASED'S NAME] died intestate, without leaving a valid will or other testamentary documents.

4. The heirs of the deceased, as listed below, are the rightful beneficiaries entitled to the distribution of the deceased person's assets:

   • [HEIR'S NAME], [RELATION TO DECEASED], residing at [HEIR'S ADDRESS]

5. The assets of the deceased, to the best of my knowledge, consist of jewelry, furniture and household items, and a savings account with [BANK NAME] with the account number, [ACCOUNT NUMBER].

6. I declare that I have no interest in the estate of the deceased other than as set forth herein, and I have no motive to misrepresent the facts stated in this affidavit.

I understand that this affidavit is provided for the purpose of assisting in the distribution of the deceased person's assets and may be relied upon by the relevant authorities and parties involved in the probate process.

Signed this [DATE].

[YOUR NAME]

Sworn to and subscribed before me on the date above written.

[NOTARY PUBLIC'S NAME]

Notary Public in and for [COUNTY NAME], Iowa

Affidavit Templates @ Template.net