Introduction

I, [YOUR NAME], hereby affirm under penalty of perjury, being duly sworn, that the following statements are true and correct to the best of my knowledge and belief:

Statement of Facts

1. I am [RELATIONSHIP TO THE DECEASED] of [DECEASED'S NAME], who passed away on [DEATH DATE].

2. [DECEASED'S NAME], the decedent, held accounts with your financial institution, specifically [ACCOUNT TYPE] with the account number [ACCOUNT NUMBER].

3. The purpose of this Affidavit is to notify your institution of the death of [DECEASED'S NAME] and to request the necessary actions be taken regarding the accounts held therein.

4. I hereby authorize and request your institution to take appropriate steps to freeze or close the aforementioned accounts and transfer any remaining funds or assets to the designated beneficiaries or estate as per the instructions provided by the deceased or as required by law.

5. I affirm that I am duly authorized to act on behalf of the estate of [DECEASED'S NAME] and undertake all necessary actions to facilitate the administration and settlement of the deceased's financial affairs.

6. I understand the seriousness of making a false statement under oath and declare that all information provided in this Affidavit is true and accurate to the best of my knowledge.

Sworn Oath

I declare under penalty of perjury under the laws of the State of Florida that the foregoing is true and correct.

Signature

[YOUR NAME]

Notarization

Subscribed and sworn to before me on this [DATE], by [YOUR NAME], who is personally known to me or produced [IDENTIFICATION DOCUMENT], as identification.

[NOTARY PUBLIC'S NAME]

Notary Public, State of Florida

Affidavit Templates @ Template.net