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SOUTHEASTERN INDIANA REM DECEASED FORM STATE OF INDIANA CAPITAL CREDITS COUNTY OF RIPLEY RE: AFFIDAVIT I, am the Personal Representative of, and being duly sworn upon my oath, make the following statements
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SEIREMC-Deceased is a form used to report the death of a member of the Southeastern Indiana REMC.
The family members or legal representatives of the deceased member are required to file SEIREMC-Deceased form.
The form can be filled out online or by contacting Southeastern Indiana REMC directly for assistance.
The purpose of SEIREMC-Deceased form is to notify the cooperative about the death of a member and to update their records accordingly.
The form requires information about the deceased member, the person reporting the death, and any necessary documentation like death certificates.
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Relevant keywords

2016 INDIANA REMC RIPLEY indemnify foregoing SOUTHEASTERN representations AFFIRM incurred Notary PENALTIES Expires owing duly proceeds provisions sums AFFIDAVIT

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