Indiana Affidavit of Death
Introduction
I, [YOUR NAME], being duly sworn on oath, depose and state as follows:
Statement of Facts
I am over the age of eighteen (18) years and am competent to make this Affidavit.
[DECEASED'S NAME], hereinafter referred to as the "Decedent," was a resident of [COUNTY NAME], Indiana, and passed away on [DATE OF DEATH].
At the time of the Decedent's death, they held a bank account numbered [BANK ACCOUNT NUMBER] at [BANK NAME], located at [BANK ADDRESS].
To the best of my knowledge, information, and belief, the Decedent was the sole owner of the bank account referenced above at the time of their death.
Sworn Oath
I solemnly swear under penalty of perjury that the foregoing statements are true and correct to the best of my knowledge, information, and belief.
Signed this [DATE] day of [MONTH], [YEAR].
[YOUR NAME]
Affiant
Notarization
Subscribed and sworn to before me this [DATE] day of [MONTH], [YEAR].
Notary Public in and for the State of Indiana
My Commission Expires: [NOTARY EXPIRATION DATE]
[NOTARY SEAL]
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