Ohio Affidavit of Death
Ohio Affidavit of Death
Introduction
I, [YOUR NAME], of legal age, residing at [YOUR ADDRESS], in the County of [COUNTY NAME], State of Ohio, being of sound mind and under no duress, do hereby declare this Affidavit of Death to transfer assets of the deceased, [DECEASED'S NAME], who passed away on [DATE OF DEATH].
Statement of Facts
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I am [RELATIONSHIP TO DECEASED], and I have personal knowledge of the facts stated herein.
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[DECEASED'S NAME], the decedent, was a resident of [DECEASED'S ADDRESS], in the County of [COUNTY NAME], State of Ohio, at the time of their death.
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The decedent passed away on [DATE OF DEATH], as confirmed by the attached Death Certificate.
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The decedent's assets, including but not limited to [LIST OF ASSETS], require transfer to the beneficiaries as per the decedent's will or applicable state laws.
Sworn Oath
I solemnly swear under penalty of perjury that the statements made in this Affidavit of Death are true and correct to the best of my knowledge, information, and belief.
Signed this [DATE] day of [MONTH], [YEAR].
[YOUR NAME]
Affiant
Notarization
Sworn to and subscribed before me on this [DATE] day of [MONTH], [YEAR], by [YOUR NAME], who is personally known to me or who has produced [TYPE OF IDENTIFICATION] as identification.
[NOTARY PUBLIC STAMP]
Notary Public: [NOTARY PUBLIC NAME]
My Commission Expires: [EXPIRATION DATE]
