Revenue District Office No.

74
Iloilo City, Iloilo

Date

RE: NOTICE OF DEATH OF (Name of decedent)

To Whom It May Concern:

This letter was written to inform your good office that (Name of decedent), a Filipino of
legal age, married to (name of spouse), passed away last (date of death). Attached
herewith is a copy of his Certificate of Death marked as Exhibit His registered address
at the time of death was (address). The cause of death was (indicate cause).

I am his (indicate relation to decedent). 

This notice of death is submitted for whatever legal purpose it may serve.

Thank you and good day.

Sincerely,
(Your name)