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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.

AFFIDAVIT FOR THE SURVIVING SPOUSE OR NEXT OF KIN *Provide information below to the extent that it is available. VENUE State ss. City Name of Deceased did/did not have a will or trust specifying the disposition of his or her estate. NAME(S) OF …

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