Introduction

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

Statement of Facts

1. I am over the age of eighteen (18) years and am of sound mind and capable of making this affidavit.

2. I am a resident of the State of Delaware, County of [COUNTY], and have personal knowledge of the matters stated herein.

3. This affidavit is made for the purpose of establishing the heirs of [DECEASED'S NAME], who passed away on [DATE OF DEATH], and for facilitating the transfer of [HIS/HER] bank account held at [BANK NAME], account number [ACCOUNT NUMBER], located at [BANK ADDRESS], in the State of Delaware.

4. The deceased, [DECEASED'S NAME], was a resident of the State of Delaware at the time of [HIS/HER] death and passed away intestate, without leaving a Last Will and Testament.

5. The surviving heirs of the deceased, to the best of my knowledge, are as follows:

   • [LIST OF SURVIVING HEIRS], [RELATIONSHIP TO THE DECESAED]

Sworn Oath

I do hereby solemnly swear and affirm under penalty of perjury that the foregoing statements are true and correct to the best of my knowledge, information, and belief.

Executed this [DAY] day of [MONTH], [YEAR].

[YOUR NAME]

Notarization

State of Delaware

County of [COUNTY]

On this [DAY] day of [MONTH], [YEAR], before me, the undersigned Notary Public, personally appeared [YOUR NAME], known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged that he/she executed the same for the purposes therein contained.

Witness my hand and official seal.

[NOTARY SEAL]

Notary Public

My Commission Expires: [EXPIRATION DATE]

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