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Tennessee Death Cer 2015
Available only to the decedent's parent, child, spouse, or an attorney or agency acting on behalf of the
decedent's estate or qualifying family member. Copies of any legal documents, where applicable, should also be submitted.
Do You Want the Certificate to Show Cause of Death?
YES
NO
(
Telephone Number Where You may be Reached for Additional Information:
)
IT IS UNLAWFUL TO WILLFULLY AND KNOWINGLY MAKE ANY FALSE STATEMENT ON THIS APPLICATION.
* Government Issued ID Required With...
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