Tennessee Affidavit of Death
Introduction
I, [YOUR NAME], of legal age, being duly sworn, depose and state as follows:
Statement of Facts
I am familiar with the circumstances surrounding the death of [DECEASED'S NAME], who passed away on [DATE OF DEATH] in [COUNTY NAME], Tennessee.
[DECEASED'S NAME] was a resident of [COUNTY NAME], Tennessee at the time of their death.
Attached hereto as Exhibit A is a certified copy of the Death Certificate of [DECEASED'S NAME], issued by the relevant authority.
To the best of my knowledge, information, and belief, [DECEASED'S NAME] did not leave a valid will or testamentary document governing the disposition of their estate.
I am familiar with the life insurance policy issued by [INSURANCE COMPANY NAME] in the name of [DECEASED'S NAME], and I am aware that I am a beneficiary under said policy.
Sworn Oath
I hereby affirm that the foregoing statements are true and correct to the best of my knowledge, information, and belief. I understand that any false statements made herein are punishable by law.
[YOUR NAME]
Date: [DATE SIGNED]
Sworn to and subscribed before me this [DATE] day of [MONTH], [YEAR].
Notary Public/Authorized Officer
My Commission Expires: [EXPIRATION DATE]
[NOTARY SEAL]
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