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Get Affidavit of Surviving Spouse or Next of Kin

Ccording to law, declare (First, middle, last or maiden name) that I reside at , and that on (Street address) (City and state) , , had permanent (Mo., day, year of death) (Name of deceased) legal residence at . (Complete address of decedent) I am the widow, child, father, mother, brother, sister, other.

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