Nevada Affidavit of Death
STATE OF NEVADA 
COUNTY OF [County Name]
Introduction:
I, [YOUR NAME], being duly sworn, depose and say:
Statement of Facts:
- The decedent, [Decedent’s Name], passed away on [Date of Death]. 
- The death occurred in [City/County Name]. 
- At the time of death, the decedent was a resident of [Decedent's Address]. 
- I am the designated beneficiary named in the Deed Upon Death executed by the Decedent on [Date of Deed], recorded on [Date of Recording] in the Official Records of [County Name] County, Nevada, as Document No. [Document Number]. 
- Legal Description of Property: [Provide the full legal description of the property as it appears on the deed] - Address of Property: [Street Address, City, County, State, Zip Code] 
- Assessor’s Parcel Number (APN): [Parcel Number] 
 
Deed Upon Death Information:
I assert my right as the beneficiary under the Deed Upon Death mentioned above to claim ownership of the described property.
Declaration:
I declare under penalty of perjury under the laws of the State of Nevada that the foregoing is true and correct.
Executed on this [Day] of [Month], [Year] at [City Name], [State Name].
Signature:

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

[NOTARY PUBLIC NAME]
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