6. I am executing this affidavit to attest to the truthfulness, veracity and due execution of the foregoing statements and this document. Download forms and electronic applications ; Guarantor's Bond Form (BPN 107) ; Funeral Benefit ; Funeral Claim ; Affidavit of Funeral Expenses.I am executing this affidavit to attest to the truthfulness, veracity and due execution of the foregoing statements. This document is an affidavit from Florencia Moritis Mission declaring that she is the surviving spouse of an SSS member who passed away. It is in this way that the form organizes the social worker's work. (c) A survivor of a deceased proper claimant in this order: (1) Spouse. Washington: SECTION 1. Motion and Title: Staff recommends motion to: A) Approve a HOME Investment. Palm Beach County, 560 So. 2d. " Section 999.301 of the regulations define the term category of third parties to include a government entity.