Wisconsin Affidavit of Death
WISCONSIN AFFIDAVIT OF DEATH
I, [YOUR NAME], residing at [YOUR ADDRESS], am of legal age and of sound mind, duly swear and state the following:
Statement of Facts
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[DECEASED PERSON'S NAME] (hereinafter referred to as the "Decedent") died on [DATE OF DEATH], within the jurisdiction of [COUNTY NAME] County, Wisconsin.
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The Decedent resided in and belonged to the community of [CITY/TOWN NAME] in [COUNTY NAME] County, Wisconsin, at the time of their passing.
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The Decedent was born on [DATE OF BIRTH] and their Social Security Number was [SOCIAL SECURITY NUMBER].
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The Decedent left behind surviving relatives, a list of whom is detailed in the attached roster of heirs.
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An authentic copy of the Decedent's death certificate, designated as Exhibit A, is appended herein, with my confirmation of its accuracy and authenticity.
Sworn Oath
I, [YOUR NAME], affirm under penalty of perjury the truth and accuracy of the above statements in this Affidavit of Death.
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 Wisconsin
My Commission Expires: [Expiry Date]
