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DS-5511 Affidavit for the Surviving Spouse or Next of Kin

I, being duly sworn according to law, declare that I reside atStreet Address and that on Date of Death Name of Deceased had permanent legal residence atComplete Address of the Deceased. I am the Specify: widow, widower, child, father, mother, sibling, otherYour Nameand as such am entitled to receive the decedent's estate under the laws of Name of state/foreign state in the United States or foreign country where the deceased last had a permanent legal residence. To the best of my knowledge,U. S. Department of StateAFFIDAVIT FOR THE Surviving Spouse OR next of kin *Provide information below to the extent that it is of Deceased did/did not have a will or trust specifying the disposition of his or her (S) OF SURVIVORS, IN ORDER OF KINSHIP Please insert the name of living relatives in the following order of relationship: Surviving Spouse , children, father and/or mother, brothers and/or sisters, other:Date of Birth Telephone NumberRelationshipAddressName DS-551110-2008 Page 1 of 3(Including City, State/or Country)(mm-dd-yyyy)CONSULAR OFFICES OF THE UNITED STATES OF AMERICA(mm-dd-yyyy)Date of Birth Telephone NumberRelationshipAddressSignatu

care of the decedent's estate or, in appropriate circumstances, to the next of kin. Providing the information in the affidavit is voluntary, but, failure to complete this form will require the person claiming to be next-of-kin to obtain and present alternative documents

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  Next, Affidavits, Spouses, Surviving, Next of kin, Affidavit for the surviving spouse or next of kin, Of kin

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