This person died on. , (date of death) at the age of _____ years.The registrant's name currently listed in the registered death record. The registrant's date of birth and date of death. TODAY'S DATE: Patient's name: Nicknames: Child's Date of Birth: Age: ______ Male: ______ Female: ______. For joint accounts "with the right of survivorship" the survivor owns all of the money in the account, but you still must notify the bank of the death. This Agreement covers your rights and responsibilities concerning your accounts and the rights and responsibilities of the Credit Union providing this. I am on death certificate too. Am I responsible for any of the bills? Landlord adequately remedies the breach prior to the date specified in the notice, the rental agreement will not terminate.