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 In Salt Lake
Category:
State:
Multi-State
County:
Salt Lake
Control #:
US-00004BG-I
Format:
Word;
PDF;
Rich Text
Instant download
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FAQ
Create a My.SSS account: Go to Apply for an SS Number online. Read the procedures, then click “Start.” Accomplish all required fields in the Registrant Record Verification. Check the information sent to your email, then click the link provided to proceed with your SS Number Application.
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.
THIS CAN ALSO BE DOWNLOADED THRU SSS WEBSITE AT .sss.ph. PLEASE READ THE INSTRUCTIONS AND REMINDERS BELOW BEFORE FILLING OUT THIS FORM. PRINT ALL INFORMATION IN CAPITAL LETTERS.
What is SSS guarantors form? A guarantor form is a document that certifies a guarantor's decision to assume liability if a particular individual does not fulfill the terms of an agreement. It is to be completed by the guarantor who has agreed to take responsibility if an individual breaks the terms of an agreement.
This form can also be downloaded thru the SSS website (.sss.ph).
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.
NAME OF. DECEDENT: DATE OF. DEATH. Name of Former Spouse Date of Death Date of Divorce Place of Death or Place of Divorce If deceased, were they married to Decedent at time of death? Name of Child. Date of. Birth. Name of Adopted Child. Date of. Adoption. Name of Relative. Relationship. Age. Relative(s) Name. Relationship. Age.
Box indicating your relationship to the decedent. You may select executor administration heir orMoreBox indicating your relationship to the decedent. You may select executor administration heir or survivor. Next enter the full name of the decedent. On this portion mark the appropriate.
Next of kin refers to a person's closest living relative(s). Individuals who count as next of kin include those with a blood relation, such as children, or those with legal standing, such as spouses or adopted children.
How to fill out the Affidavit of Next of Kin for Medical Records? Review the affidavit carefully before starting. Fill in the decedent's name and details including date of death. Specify your relationship to the decedent. Sign and date the affidavit before a notary public. Submit the completed affidavit as required.