6. I am executing this affidavit to attest to the truthfulness, veracity and due execution of the foregoing statements and this document. Note: Fill in all the blanks completely and correctly.Write NONE or NOT APPLICABLE, if it is such. Josefina C. Tamayo filed an affidavit of death benefit claim as the widow of the deceased Carmelo S. Tamayo who passed away on August 29, 2016. (3) If there is no surviving spouse, to the sons and daughters in equal shares. Children of a deceased son or daughter of a deceased person shall be entitled to. Survivors of a deceased SSS member may claim benefits, provided the deceased member has satisfied the minimum contribution requirements. The Carroll County Board of Supervisors held their regular monthly meeting on, July 10,. Parents who, for the month of death, were entitled to a monthly benefit on the same record as the deceased;; A surviving spouse not qualified under 1. (b) The commissioner may cooperate with the federal government in carry- ing out this part or the federal Meat Inspection Act or the federal Poultry.