This is a generic Affidavit to accompany a Motion to amend or strike alimony provisions of a divorce decree because of the obligor spouse's changed financial condition. This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.
Affidavit Of Surviving Spouse/dependency With Undertaking Sss Death Benefit In Cook
Category:
State:
Multi-State
County:
Cook
Control #:
US-00004BG-I
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Word;
PDF;
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The surviving legal spouse: Proof to establish SSS membership of the deceased member or pensioner; Death certificate of the deceased member or pensioner; Marriage Certificate; and Proof of payment of funeral expenses, if available.
These are the dependent spouse, until he/she remarries, and the dependent legitimate, legitimated, or legally adopted, and illegitimate children of the member who are unmarried, not gainfully employed and not yet 21 years old or if over 21 years old, provided they are incapacitated and incapable of self-support due to ...
How to Write an Affidavit of Survivorship List the State and County. Include Your Name and Current Address. Identify the Property by Date of Deed, Address, and Instrument Number. Include a Legal Description of the Property. Affirm Your Joint Ownership of the Property with the Decedent.
Surviving spouse, at full retirement age or older, generally gets 100% of the worker's basic benefit amount. Surviving spouse, age 60 or older, but under full retirement age, gets between 71% and 99% of the worker's basic benefit amount.
3. Requirements and Documentation SSS Survivor Claim Form (BPN-107) Marriage Certificate (issued by the Philippine Statistics Authority or PSA) Death Certificate of the deceased member (PSA copy) Affidavit of Death Benefit Claim. Two valid government-issued IDs with photo and signature.
To fill out this affidavit, begin by providing your personal information and details about the deceased. Ensure you have all required documents that prove your relationship to the decedent. Lastly, complete the sections regarding the next of kin and sign before a notary public.
3. Requirements and Documentation SSS Survivor Claim Form (BPN-107) Marriage Certificate (issued by the Philippine Statistics Authority or PSA) Death Certificate of the deceased member (PSA copy) Affidavit of Death Benefit Claim. Two valid government-issued IDs with photo and signature.
Now after you learn if you qualify or not, call social security & report the death of your spouse as soon as possible at 1-800-772-1213 (TTY 1-800-325-0778) from am and pm. Monday - Friday to register and claim benefits as soon as possible.
List of Documentary Requirements Social Security Card/Unified Multi-purpose ID (UMID) card of deceased member. Duly received SSS Records of deceased member (e.g. E-1/RS-1/NW-1/ OW-1/E-4) Employment Records with member's SS no. (e.g. company ID, payslip)
Formalities for a death claim 1 Filled-up claim form (provided by the insurance company) 2 Certificate of death. 3 Policy document. 4 Deeds of assignments/ re-assignments if any. 5 Legal evidence of title, if the policy is not assigned or nominated. 6 Form of discharge executed and witnessed.