Oregon Affidavit of Death
STATE OF OREGON
COUNTY OF [County Name]
Introduction:
I, [YOUR NAME], being duly sworn, depose and state as follows:
Statement of Facts:
The decedent, [Decedent's Name], born on [Date of Birth], died on [Date of Death], as evidenced by a certified copy of the Death Certificate attached hereto as Exhibit A.
I am the [relationship to the deceased] of the decedent and have direct knowledge of the decedent's death.
At the time of death, the decedent was a resident of [Decedent's Address].
To the best of my knowledge, the decedent's estate consists of personal property not exceeding the value required for a formal probate process in the State of Oregon and does not include real property.
The known heirs of the decedent are as follows: [List Names and Relationships].
This affidavit is made for the purpose of inducing [Name of Bank, Financial Institution, or Agency] to transfer ownership or release assets of the decedent to the undersigned, as permitted under Oregon law for small estates.
Declaration:
I declare under penalty of perjury under the laws of the State of Oregon that the foregoing is true and correct.
DATED this [Day] of [Month], [Year].
Signature:
[YOUR NAME]
Subscribed and sworn to before me this [Day] of [Month], [Year], by [YOUR NAME].
[NOTARY PUBLIC NAME]
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