Louisiana Affidavit of Death
This document serves as an Affidavit of Death, prepared in accordance with the relevant sections of the Louisiana Revised Statutes. It is intended to formally acknowledge the passing of a deceased individual and to facilitate the various legal processes that may follow, such as estate settlement, property transfer, and other necessary legal actions related to the decedent's affairs.
State of Louisiana
Parish of ____________
I, __________(1)__________, being duly sworn, depose and say:
- I am over the age of eighteen (18) years and am mentally competent to make this affidavit.
- I reside at __________(2)__________, in the city of __________(3)__________, Parish of __________(4)__________, State of Louisiana.
- I have personal knowledge of the facts stated herein.
- __________(5)__________, herein referred to as the Decedent, passed away on __________(6)__________.
- At the time of death, the Decedent resided at __________(7)__________, in the city of __________(8)__________, Parish of __________(9)__________, State of Louisiana.
- The Decedent's date of birth was __________(10)__________.
- To the best of my knowledge, the following are the surviving family members/next of kin of the Decedent:
- Name: __________(11)__________, Relationship: __________(12)__________
- Name: __________(13)__________, Relationship: __________(14)__________
- The Decedent did / did not leave a will.
- As required by the Louisiana Revised Statutes, this affidavit is submitted for the purpose of __________(15)__________.
FURTHER AFFIANT SAYETH NOT.
Subscribed and sworn to before me this ___ day of ____________, 20__.
_____________________
Affiant Signature
Notary Public: _____________________
My Commission Expires: ______________