QUESTION 10: If the Decedent left no children, grandchildren, spouse, mother, father, brother, or sister,
state all other known surviving relatives, including grandparents, aunts, uncles, nieces and nephews.
NAME
RELATIONSHIP
DATE OF
ADDRESS
BIRTH
QUESTION 11: What is your relationship to the Decedent?
________________________________________
QUESTION 12: How long have you known the Decedent?
________________________________________
______________________________
Signature of Affiant
STATE OF ALABAMA
COUNTY OF _______________
___________________________________, of lawful age, being first duly sworn, upon his/her oath states
that the information given in the above and foregoing affidavit is true to the personal knowledge of this
Affiant.
Subscribed and sworn to before me this _____ day of _______________, 20_____.
______________________________
Notary Public
My Commission Expires: ____________________