Fill and Sign the Declaration Death Form

IN RE _____ JUDICIAL DISTRICT COURT DOCKET NO. _________________ _________________ PARISH STATE OF LOUISIANA PETITION FOR DECLARATION OF DEATH The petition of _______________ , a domiciliary of ___________ , State of ___________ , a person of the full age of majority, respectfully represents: 1. Petitioner, _______________ , was married to _______________ on _______ ___ , ____ , in ___________ Parish, Louisiana. The minor, _______________ , was born of this marriage. Petitioner and _______________ were divorced in ___________ Parish, Louisiana, in ____ . 2. Petitioner and _______________ enjoyed joint custody of the minor child, _______________ , from their divorce through _______ ___ , ____ . 3. On or about _______ ___ , ____ , _______________ was reported missing from her home in _______ , ___________ Parish, Louisiana, under suspicious circumstances. 4. Petitioner has maintained sole custody of the minor child since _______ ___ , ____ . 5. Petitioner has attempted to locate _______________ by contacting family, friends and co-workers of _______________ . 6. Petitioner has never been able to find and has never heard from _______________ since _______ ___ , ____ . Upon information and belief, an independent investigation into the disappearance of _______________ was conducted by criminal authorities. 8. It is common, public knowledge that it has been reported in the newspapers in ___________ Parish, Louisiana, that the disappearance of _______________ been linked to other similar disappearances by DNA evidence in connection with the arrest of _______________ . 9. Since news of the arrest of _______________ , it has been further reported in the newspapers in ___________ Parish, Louisiana that the authorities have looked for the body of _______________ and have not been able to find her body. 10. In accordance with Louisiana law, it is necessary that this Court appoint a Curator ad hoc for the absent person, _______________ . WHEREFORE, petitioner prays that a curator ad hoc be appointed to represent the interests of the absent person, _______________ , and after due proceedings that this court grant Petitioner relief in the form of a Declaration of Death, and for all general, just and equitable relief to which petitioner may be entitled. _______________ (pro se) _______________ ___________ , ___ _______ STATE OF ___________ COUNTY OF BEFORE ME, the undersigned authority, personally came and appeared _______________ , who after being duly sworn, did depose and say that he is the petitioner in the foregoing petition and that all of the allegations contained therein are true and correct to the best of his knowledge, information and belief. WITNESSES: Please sign and print name _______________ Please sign and print name SWORN TO AND SUBSCRIBED before me this ______________ day of ___________________________, 20 ___ . ______________________________________ NOTARY PUBLIC My Commission Expires: ___________