Rhode Island Affidavit of Death
Introduction
I, [YOUR NAME], of legal age, residing at [YOUR ADDRESS], being duly sworn, depose and state as follows:
Statement of Facts
I am the [RELATIONSHIP TO DECEASED] of [DECEASED'S NAME], who passed away on [DATE OF DEATH], as evidenced by the attached Death Certificate.
[DECEASED'S NAME] was a resident of [COUNTY NAME], Rhode Island at the time of their death.
I am familiar with the circumstances surrounding the death of [DECEASED'S NAME] and can attest to its accuracy.
[DECEASED'S NAME] had accounts with the following institutions:
[INSTITUTION NAME], [ACCOUNT NUMBER], [TYPE OF ACCOUNT]
[INSTITUTION NAME], [ACCOUNT NUMBER], [TYPE OF ACCOUNT]
Continue as needed.
I am seeking to close the aforementioned accounts to settle the affairs of [DECEASED'S NAME] and distribute their assets according to law.
Sworn Oath
I do solemnly swear under penalty of perjury that the foregoing statements are true and correct to the best of my knowledge, information, and belief.
[YOUR NAME]
Affiant
Subscribed and sworn to before me this [DATE] day of [MONTH], [YEAR].
Notary Public
My Commission Expires: [COMMISSION EXPIRY DATE]
[NOTARY SEAL]
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