STATE OF WYOMING

COUNTY OF [County Name]

Introduction:

I, [YOUR NAME], residing at [YOUR ADDRESS], being duly sworn, depose and say:

Statement of Facts:

1. I, [YOUR NAME], born on [YOUR DOB], hereby provide my personal information as part of this affidavit.

2. My Social Security Number is [YOUR SSN], which serves as a part of my identity verification.

3. Additionally, I hold a driver’s license, number [Your Driver’s License Number], which was issued in the state of [State Name], further corroborating my identity.

4. This information is presented to support my claim and establish my identity in relation to the estate of [Decedent’s Name].

5. I am the [Relationship to Decedent], who resided at [Decedent’s Last Known Address] and who passed away on [Date of Death].

6. This affidavit is being submitted in connection with the estate of the above-named decedent, specifically for [describe the purpose].

Identity Verification:

I affirm that I am the individual named as a beneficiary or with a rightful claim under the will or by the laws of intestate succession of the State of Wyoming related to the estate of the aforementioned decedent.

I have attached hereto [List any attached documents] to verify my identity and my relationship to the decedent.

Sworn Declaration:

I understand that this affidavit is made for the purposes of establishing my identity as a beneficiary of the estate of [Decedent’s Name].

I declare under penalty of perjury under the laws of the State of Wyoming that the foregoing is true and correct.

Executed this [Day] of [Month], [Year].

Signature:

[YOUR NAME]

SUBSCRIBED AND SWORN TO BEFORE ME this [Day] of [Month], [Year], by [YOUR NAME], who is personally known to me or who has produced [type of identification] as identification.

[NOTARY PUBLIC NAME]

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