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Get DS-5511 2008

W to the extent that it is available. VENUE State ss. City I, being duly sworn according to law, declare that I reside at Your Name and that on Date of Death (mm-dd-yyyy) Street Address (Including City, State/or Country) had permanent legal residence at Name of Deceased . I am the Complete Address of the Deceased Specify: widow, widower, child, father, mother, sibling, other and as such am entitled to receive the decedent's estate under the laws of . To the best of my knowledge, Name of.

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