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Affidavit As To Reimbursement For Payment Of Funeral Bill - South Carolina
| Affidavit As To Reimbursement For Payment Of Funeral Bill Form. This is a South Carolina form and can be used in Probate Court Richland Local County . |
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STATE OF SOUTH CAROLINA COUNTY OF RICHLAND ) ) ) IN THE PROBATE COURT IN THE MATTER OF THE ESTATE OF ) ____________________________, ) Decedent. ) ____________________________________) AFFIDAVIT AS TO REIMBURSEMENT FOR PAYMENT OF FUNERAL BILL I, ________________________________, paid for the funeral of the decedent in the amount of $_______________. Choose One: _________ I want to be reimbursed in the amount of $_______________. I am attaching my paid receipt or the funeral statement showing proof that I paid for the funeral. I do not want to be reimbursed. ________________________________ Sign Name _________________________________ Date SWORN to before me this _____ day of ______________, ________. __________________________________ Notary Public for South Carolina My Commission expires: _______________ _________ American LegalNet, Inc. www.FormsWorkFlow.com
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