Structure
The Louisiana Affidavit of Death form serves as an important legal document that facilitates the process of settling the affairs of a deceased individual. This form is particularly useful in situations where formal probate proceedings may not be necessary, allowing for a more streamlined approach to transferring assets and settling debts. By providing a sworn statement regarding the death of an individual, this affidavit helps establish the fact of death in various legal contexts. It typically requires essential information such as the deceased's name, date of death, and the affiant's relationship to the deceased. Additionally, the form may need to be notarized to ensure its authenticity, further reinforcing its validity in the eyes of financial institutions and other entities. Understanding the nuances of this form is crucial for families and representatives navigating the often-complex landscape of estate management in Louisiana.
Sample - Louisiana Affidavit of Death Form
Louisiana Affidavit of Death
This document serves as a formal declaration of the death of a loved one, in accordance with the state-specific laws of Louisiana, particularly the relevant sections of the Louisiana Revised Statutes (LRS). It is intended to notify interested parties and legal entities of the decedent's passing, facilitating the transfer of assets, benefits, and other related matters.
Please ensure that all information provided is accurate and complete. This affidavit needs to be notarized to become legally effective. Consult with a legal professional if you have any questions or require guidance.
Affidavit Details
Affiant Information
Full Name: ____________________________________________
Relationship to Decedent: ______________________________
Address: _______________________________________________
City: ___________________ State: LA Zip Code: ___________
Phone Number: _________________________________________
Email Address: _________________________________________
Decedent Information
Full Name: ____________________________________________
Address: _______________________________________________
City: ___________________ State: LA Zip Code: ___________
Date of Birth: ________/________/________
Date of Death: ________/________/________
Place of Death: ________________________________________
Parish where Death Certificate is Recorded: _______________
Statement of Facts
I, (Affiant's Name), under penalty of perjury, solemnly affirm and declare the following:
- I had a personal relationship with the decedent, (Decedent's Name), and have personal knowledge of their death.
- To the best of my knowledge, the decedent passed away on (Date of Death), in (Place of Death), as stated in the registered death certificate in the parish of (Parish Name).
- This affidavit is executed to notify and clarify for relevant parties and legal entities the fact of the death of (Decedent's Name).
- I understand that knowingly making a false statement in this affidavit constitutes perjury.
Executed on this _____ day of _______________, 20__.
_____________________________
Signature of Affiant
Notary Public:
State of Louisiana
Parish of __________________________
Subscribed and sworn to (or affirmed) before me on this _____ day of _______________, 20__, by (Affiant's Name), proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
_____________________________
Notary Public Signature
(Notary Seal)
Document Details
| Fact Name | Description |
|---|---|
| Purpose | The Louisiana Affidavit of Death form is used to officially declare the death of an individual, facilitating the transfer of assets and settling of estates. |
| Governing Law | This form is governed by Louisiana Civil Code Articles 873 and 874, which outline the requirements for proving death in the state. |
| Who Can File | Typically, a family member, legal representative, or any interested party can file the affidavit, provided they have knowledge of the decedent's death. |
| Required Information | The form requires the decedent's full name, date of birth, date of death, and information about the affiant, including their relationship to the deceased. |
| Filing Process | After completing the affidavit, it must be signed in the presence of a notary public and filed with the appropriate court or office, depending on the jurisdiction. |
| Legal Effect | Once filed, the affidavit serves as a legal document that can be used to access the deceased's assets and settle their estate without needing a formal probate process. |
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