Serving Illinois. Your appointment must be handled by an Illinois-commissioned notary.

Proof of Life Affidavit - Illinois

Illinois · Fillable PDF · Free

Foreign pension systems and benefit agencies often require a notarized statement each year that the recipient is alive. The notary confirms your identity in person. Foreign pension systems and benefit agencies often require a notarized statement each year that the recipient is alive.

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Book a notary for Proof of Life Affidavit - Illinois

Who this form is for

Illinois residents and families reviewing proof of life affidavit instructions.

What you'll need

Read the original packet’s instructions and complete only the fields that apply.
Bring acceptable identification and follow the packet’s signature and witness instructions.

How to complete it

Bring the agency’s own form if it has one Many pension agencies supply their own life certificate. A notary can complete that form instead, or use this one.
Fill in your benefit details (Page 1) Enter the agency, your account or pension number, and your passport details.
Appear in person You must appear before the notary in person. We visit homes, hospitals, and care facilities.
Sign under oath before a notary Do not sign ahead of time. Sign in front of the notary, who will place you under oath. Bring a current, government-issued photo ID.

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These forms are a free convenience, not legal advice. First Choice Mobile Notary & Apostille is not a law firm. Consult an attorney licensed in the relevant state for legal questions.

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