I, [Your Name], legally competent and of sound mind to make this affidavit, solemnly depose and state the following under oath:

Statement of Facts

1. As the [Relationship to Deceased] of [Deceased's Name], I possess personal knowledge of the matters detailed herein.

2. [Deceased's Name], a person known to me, died on [Date of Death], in the city of [City Name], County of [County Name], State of South Dakota.

3. The demise of [Deceased's Name] is officially recorded in the records maintained by the South Dakota Department of Health.

4. Enclosed with this affidavit is a certified copy of the death certificate issued for [Deceased's Name] by the appropriate state authorities.

5. [Deceased's Name] is survived by their spouse, [Name of Spouse of Deceased], and [Number] children: [Children's Names].

6. The estate of [Deceased's Name] includes real property located at [Property Address].

7. The last will and testament of [Deceased's Name] has been submitted to probate court in the County of [County Name].

Sworn Oath

I attest under penalty of perjury that the statements made herein are true and correct to the best of my knowledge and belief.

Signed this [Date] day of [Month], [Year].

Signature

[Your Name]
Affiant

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

[Notary Public's Name]

Notary Public for the State of South Dakota

My Commission Expires: [Expiry Date]

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