Louisiana Affidavit of Death Template
This Affidavit of Death is made in accordance with the laws of the State of Louisiana.
I, [Affiant's Full Name], residing at [Affiant's Address], declare under penalty of perjury that the information provided herein is true and correct to the best of my knowledge.
This affidavit pertains to the death of:
- [Decedent's Full Name]
- Date of Death: [Decedent's Date of Death]
- Place of Death: [Decedent's Place of Death]
As a result of the death of the above-named individual, I hereby declare the following:
- The decedent was a resident of [Decedent's Last Known Address].
- The decedent's date of birth was [Decedent's Date of Birth].
- I am a [Relationship to Decedent] of the decedent.
- I make this affidavit for the purpose of [Purpose of Affidavit, e.g., settling an estate, claiming benefits, etc.].
Attached herewith are the following documents for your consideration:
- Copy of Death Certificate
- Other relevant documents (if applicable)
This Affidavit of Death is signed on [Date] in [City, State].
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[Affiant's Signature]
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[Printed Name of Affiant]
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[Notary Public's Signature]
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[Printed Name of Notary Public]
My Commission Expires: [Date]