Polk County Affidavit of Death Certificate Form
Last validated June 4, 2026 by our Forms Development Team
Polk County Affidavit of Death Certificate Form
Fill in the blank form formatted to comply with all recording and content requirements.

Polk County Affidavit of Death Certificate Guide
Line by line guide explaining every blank on the form.

Polk County Completed Example of the Affidavit of Death Certificate Document
Example of a properly completed form for reference.
All 3 documents above included • One-time purchase • No recurring fees
Immediate Download • Secure Checkout
Additional Florida and Polk County documents included at no extra charge:
Where to Record Your Documents
Clerk of Circuit Court - Official Records
Bartow, Florida 33830
Hours: 8:00am - 5:00pm M-F
Phone: (863) 534-4516
Mail to: Clerk of Circuit Court - Official Records
Bartow, Florida 33831
Hours: for mailing purposes
Phone: N/A
Northeast Branch - NE Polk Co. Gov. Center
Winter Haven, Florida 33881
Hours: 8:00am - 5:00pm M-F
Phone: (863) 401-2400
Lakeland Branch
Lakeland, Florida 33801
Hours: 8:00am - 5:00pm M-F
Phone: (863) 603-6412
Recording Tips for Polk County:
- Verify all names are spelled correctly before recording
- White-out or correction fluid may cause rejection
- Request a receipt showing your recording numbers
- Both spouses typically need to sign if property is jointly owned
Cities and Jurisdictions in Polk County
Properties in any of these areas use Polk County forms:
- Alturas
- Auburndale
- Babson Park
- Bartow
- Bradley
- Davenport
- Dundee
- Eagle Lake
- Eaton Park
- Fort Meade
- Frostproof
- Haines City
- Highland City
- Homeland
- Indian Lake Estates
- Kathleen
- Kissimmee
- Lake Alfred
- Lake Hamilton
- Lake Wales
- Lakeland
- Lakeshore
- Loughman
- Mulberry
- Nalcrest
- Nichols
- Polk City
- River Ranch
- Waverly
- Winter Haven
Hours, fees, requirements, and more for Polk County
How do I get my forms?
Forms are available for immediate download after payment. The Polk County forms will be in your account ready to download to your computer. An account is created for you during checkout if you don't have one. Forms are NOT emailed.
Are these forms guaranteed to be recordable in Polk County?
Yes. Our form blanks are guaranteed to meet or exceed the applicable formatting requirements used for recording in Polk County, including margin requirements, font requirements, and other layout standards. This guarantee applies to formatting, not to the legal sufficiency of information entered by the user or the suitability of a form for a particular transaction.
Can I reuse these forms?
Yes. You can reuse the forms for your personal use. For example, if you have multiple properties in Polk County you only need to order once.
What do I need to use these forms?
The forms are PDFs that you fill out on your computer. You'll need Adobe Reader (free software that most computers already have). You do NOT enter your property information online - you download the blank forms and complete them privately on your own computer.
Are there any recurring fees?
No. This is a one-time purchase. Nothing to cancel, no memberships, no recurring fees.
How much does it cost to record in Polk County?
Recording fees in Polk County vary. Contact the recorder's office at (863) 534-4516 for current fees.
Questions answered? Let's get started!
Florida death certificates carry confidentiality restrictions that other states do not impose. Under F.S. 382.025, the cause of death portion of a Florida death certificate is removed from publicly issued copies and is released only to a defined group — the decedent's spouse, parent, child, grandchild, sibling, or a legal representative — for 50 years after the death. When a real estate transaction touches a deceased Florida property owner, the title company or recording party often needs confirmation that a death certificate exists and what it says, but cannot attach the document to a public file without raising privacy issues. The Florida Affidavit of Death Certificate is a sworn statement from someone who has personally reviewed the certified original. It captures the date of death, certificate number, issuing state, and other identifying details so the file is complete without the certificate itself going on the record.
How the Florida Affidavit of Death Certificate is used
This affidavit is used when a Florida title company, lender, recorder, or other party in a real estate transaction needs verification that a death certificate exists for a deceased grantor, joint tenant, or other party of interest, but does not need — or cannot accept — the certificate itself. Common situations include closings on property previously held by joint tenants with right of survivorship, transactions involving an enhanced life estate (Lady Bird) deed where the life tenant has died, and underwriting files where the title insurer needs proof of death without including the full vital record. The affiant — typically a family member, executor, or someone with custody of the original — swears under oath that they have seen the certified document and recites its key contents.
Florida death certificate access rules
Under F.S. 382.025(1), the Florida Department of Health issues two kinds of death certificate copies. The "without cause of death" version is available to any applicant who can identify the decedent. The full version, including cause of death, is restricted for 50 years from the date of death and is released only to specific family members and legal representatives listed in the statute. This split creates the everyday problem this affidavit solves: a recorder or title file may need confirmation of the death without ingesting the cause-of-death information into a public document. The affiant verifies what the certificate says without the document itself becoming part of the record.
What this affidavit is and is not
This is a verification document, not a title instrument. It does not transfer Florida real property, remove a deceased owner from title, vest survivorship in a surviving joint tenant, or open or close a probate estate. It does not function as an affidavit of heirs, an order of summary administration under F.S. 735.201, or a recorded death certificate used to clear a tenancy by the entirety or joint tenancy with right of survivorship under F.S. 689.15. It is narrower than that — a sworn recital of what the affiant saw on a death certificate.
Execution requirements in Florida
Because this is an affidavit rather than a deed, Florida's two-witness requirement for deeds under F.S. 689.01 does not apply. The affiant signs in the presence of a notary public, and the notarial certificate must be a jurat — the form used when the signer takes an oath or affirmation — not the acknowledgment block used on deeds. F.S. 117.05 governs the form of notarial certificates and the information the notary must include. Florida also recognizes online notarization under F.S. 117.201 through 117.305, so the affidavit may be executed remotely before a Florida-commissioned online notary. Under F.S. 92.525, a written declaration signed under penalty of perjury can substitute for a notarized affidavit in some contexts; whether that substitute is acceptable depends on what the recipient — title company, recorder, or court — will accept.
Recording the affidavit in Florida
Whether this affidavit is recorded depends on the requesting party. Some title companies retain it in the underwriting file only; others require it recorded alongside a deed or other instrument. If recorded, it must comply with F.S. 695.26: the name of each signer must be typed or printed beneath the signature, the preparer's name and address must appear on the first page, and the first page must have a 3-inch top margin with 1-inch margins elsewhere to accommodate the recorder's stamp. Florida county recorders charge by the page under F.S. 28.24, so removing extra blank pages before recording reduces cost.
Florida-specific traps
- Wrong notarial certificate. Affidavits require a jurat. A Florida acknowledgment block — common on deeds — does not satisfy the oath requirement and may cause the recipient to reject the document.
- Confusing this with an Affidavit of Heirs. A Florida Affidavit of Heirs identifies who inherits when there is no probate. This affidavit only verifies a death certificate. They are different documents serving different purposes and are not interchangeable.
- Homestead complications. Florida homestead under Article X, Section 4 of the Florida Constitution descends to a surviving spouse and minor children outside of probate, and clearing title to homestead property usually requires more than a death verification. This affidavit alone will not resolve a homestead descent issue.
- Mismatched details. Title companies compare the affidavit's recital of the certificate number, date of death, and place of death against their other file evidence. Transcription errors — a wrong middle initial, a transposed digit in the certificate number — are a common reason the affidavit is sent back.
- Recording margin and preparer block omissions. If the affidavit is being recorded, F.S. 695.26 violations cause Florida recorders to reject the document or charge a non-standard recording fee.
- Cause-of-death disclosure. Reciting the cause of death in the affidavit puts that confidential information into a public record if the affidavit is recorded. Most uses of this form do not require the cause of death; the affiant should include only the details the recipient actually needs.
What is included in the download package
The Florida Affidavit of Death Certificate package contains the fillable form, a guidelines document explaining how to complete and execute it under Florida law, and a completed example for reference. Files are delivered as immediate downloads after purchase and can be reused.
Important: Your property must be located in Polk County to use these forms. Documents should be recorded at the office below.
This Affidavit of Death Certificate meets all recording requirements specific to Polk County.
Our Promise
The documents you receive here are guaranteed to meet or exceed the applicable Polk County recording format requirements. If there is a rejection caused by our formatting, we will correct the issue or refund your payment. This guarantee applies to document formatting only and does not extend to information entered by the user, the selection of the form, or the legal effect of the completed document.
Save Time and Money
Get your Polk County Affidavit of Death Certificate form done right the first time with Deeds.com Uniform Conveyancing Blanks. At Deeds.com, we understand that your time and money are valuable resources, and we don't want you to face a penalty fee or rejection imposed by a county recorder for submitting nonstandard documents. We constantly review and update our forms to meet rapidly changing state and county recording requirements for roughly 3,500 counties and local jurisdictions.
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