STATE OF IDAHO

COUNTY OF [County Name]

Introduction:

I, [YOUR NAME], being duly sworn, declare and affirm under penalty of perjury under the laws of the State of Idaho that the following statements are true and correct to the best of my knowledge, information, and belief.

Statement of Facts:

1. The deceased, known by the full name [Deceased's Name], was born on [Deceased's Date of Birth] and passed away on [Deceased's Date of Death]. The event of death occurred in [City/Town Name], Idaho.

2. Prior to their passing, the deceased resided at [Deceased's Last Known Address], which was known to be their last known address.

3. I am the [state relationship] of the above-named deceased individual.

4. This affidavit is executed for the purpose of initiating legal proceedings to settle disputes over the deceased’s assets or liabilities.

5. The nature of the dispute over the deceased's assets or liabilities involves disagreements among beneficiaries regarding the distribution of the estate.

6. It is necessary to provide proof of the deceased's death as part of the legal proceedings to resolve the disputes mentioned above. This affidavit serves as such proof and is submitted in accordance with Idaho law.

Documentation:

Attached to this affidavit is a certified copy of the death certificate of [Deceased's Name], issued by the State of Idaho.

I understand that this affidavit is made for the purposes of legal proceedings related to the deceased's estate and will be relied upon by courts, financial institutions, and other entities involved in resolving the disputes over the deceased’s assets and liabilities.

DATED this [Day] of [Month], [Year].

Signature:

[YOUR NAME]

Subscribed and sworn to before me this [Day] of [Month], [Year].

[NOTARY PUBLIC NAME]

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