Loading
Form preview picture

Get Next Of Kin Affidavit Form Mississippi

IBEW PENSION BENEFIT FUND AFFIDAVIT OF NEXT OF KIN This form must be completed by someone who will not share in this death benefit. MEMBER FIRST NAME MR MRS MS LAST NAME M. I. JR SR Gender MALE For I. O. use only. I IV II Death Claim Number III V FEMALE residing at ADDRESS STREET NUMBER CITY STATE ZIP CODE 4 being first duly sworn depose and state that I knew the above deceased member and his/her family for Years before his/her death and my Relationship to the deceased member is Form No* 382 Rev 06/05 Page 1 of 7 A Please list all surviving children of the deceased both natural or legally adopted and provide all the additional information as requested* List stepchildren only if they are legally adopted* We cannot process this claim unless all requested information is provided* PHONE NUMBER SOCIAL SECURITY NUMBER - DATE OF BIRTH / B If any of the children died after the member s death please list their name s and date s of death DATE OF DEATH Please provide the following information about the surviving parents of the deceased member RELATIONSHIP FATHER MOTHER Please identify the court-appointed executor administrator or other person handling the estate of our member and provide the Social Security Number for the estate. Also enclose a copy of letters of administration* This identification is for statistical purposes only will be kept confidential and will not be used for any purpose that would violate Title VII of the Civil Rights Act of 1964 as amended* If there is no estate to be probated or no court-appointed executor or administrator please identify the individual responsible for handling our member s affairs. TO BE SIGNED BY THE INDIVIDUAL COMPLETING THE AFFIDAVIT TODAY S DATE MM/DD/YYYY SIGNATURE SUBSCRIBED AND SWORN TO BEFORE ME* NOTARY SIGNATURE NOTARY PRINTED NAME MY COMMISSION EXPIRES ON. MEMBER FIRST NAME MR MRS MS LAST NAME M. I. JR SR Gender MALE For I. O. use only. I IV II Death Claim Number III V FEMALE residing at ADDRESS STREET NUMBER CITY STATE ZIP CODE 4 being first duly sworn depose and state that I knew the above deceased member and his/her family for Years before his/her death and my Relationship to the deceased member is Form No* 382 Rev 06/05 Page 1 of 7 A Please list all surviving children of the deceased both natural or legally adopted and provide all the additional information as requested* List stepchildren only if they are legally adopted* We cannot process this claim unless all requested information is provided* PHONE NUMBER SOCIAL SECURITY NUMBER - DATE OF BIRTH / B If any of the children died after the member s death please list their name s and date s of death DATE OF DEATH Please provide the following information about the surviving parents of the deceased member RELATIONSHIP FATHER MOTHER Please identify the court-appointed executor administrator or other person handling the estate of our member and provide the Social Security Number for the estate. Also enclose a copy of letters of administration* This identification is for statistical purposes only will be kept confidential and will not be used for any purpose that would violate Title VII of the Civil Rights Act of 1964 as amended* If there is no estate to be probated or no court-appointed executor or administrator please identify the individual responsible for handling our member s affairs.

How It Works

affidavit of next of kin sample rating
4.8Satisfied
42 votes

Tips on how to fill out, edit and sign Next of kin affidavit format online

How to fill out and sign Expires online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Feel all the benefits of submitting and completing forms online. With our platform filling out Next Of Kin Affidavit Form Mississippi usually takes a few minutes. We make that achievable through giving you access to our feature-rich editor capable of altering/fixing a document?s original textual content, adding unique boxes, and putting your signature on.

Complete Next Of Kin Affidavit Form Mississippi in just several minutes following the instructions listed below:

  1. Choose the document template you will need from our library of legal forms.
  2. Choose the Get form button to open it and begin editing.
  3. Fill in all the required boxes (these are yellowish).
  4. The Signature Wizard will enable you to insert your electronic autograph after you?ve finished imputing info.
  5. Add the date.
  6. Double-check the whole document to make sure you have completed everything and no corrections are needed.
  7. Press Done and save the resulting form to the device.

Send your new Next Of Kin Affidavit Form Mississippi in an electronic form when you finish completing it. Your data is securely protected, because we keep to the newest security criteria. Become one of millions of happy users that are already filling in legal documents straight from their houses.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Affidavit of next of kin form FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to Next Of Kin Affidavit Form Mississippi

  • probated
  • stepchildren
  • subscribed
  • residing
  • enclose
  • amended
  • DEPOSE
  • executor
  • notary
  • completing
  • Statistical
  • expires
  • II
  • iv
  • duly
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.