Republic of the Philippines )
City of _____________ ) S.S.
AFFIDAVIT
OF NEXT OF KIN
I, (NAME OF AFFIANT), Filipino, of legal age, single/married, and a residents of (Address of Affiant), after having been sworn to in accordance with law, hereby depose and state:
1. That I am the next of kin, being the sister, of the late (NAME OF DECEDENT), who died intestate on (Date of Death) at (Place of Death);
2. That the decedent died single, thus left no surviving spouse nor children;
3. That no personal representative has been appointed for the decedent’s estate or elsewhere and no application for such appointment is pending;
4. That this affidavit is made in support of the undersigned’s application for Registration of Death of the late (Name of Decedent), as available next of kin, from the Civil Registrar.
IN WITNESS WHEREOF, I have hereunto affixed our signature this (Date of Notarization), in (Place of Notarization).
(NAME OF AFFIANT)
Affiant
SUBSCRIBED
AND SWORN to before me this (Date of Notarization) in (Place of Notarization), with affiant
exhibiting to me (ID Details).
Doc. No. ____;
Page No. ____;
Book No. ____;
Series of _____.
