_________________________, 20_____
							(Date of Letter)



The Honorable ___________________________________________
	          (Governor, Secretary of State, Attorney General, etc.)
______________________________
(Room, Floor or P.O. Box)
______________________________
(Government Office Building)
______________________________
(Street Address)
______________________________
(City, State and Zip Code)

RE:  	___________________________________
	(Death Certificate)

Attn:  Bureau of Vital Statistics

Dear Bureau of Vital Statistics:

	Please provide the undersigned with _________ (number of) certified copies
of the certificate of death for _________________________________ (name of
deceased individual).  It is the understanding of the undersigned that _________
_____________________________ (name of decedent) died on the _____ day of
____________________, _____(year), at __________________________________ (location). 

	Please indicate if there is a specific charge for the copies of the death
certificate by contacting the undersigned with that information.  Upon your request,
remittance will be tendered forthwith so that certified copies of the death
certificate of the aforementioned individual may be received.  Should you need any
additional information from the undersigned, please advise.  Thank you.

							Very truly yours,



							______________________________
							(Signature)
							______________________________
							(Address)
							______________________________
							(City, State and Zip Code)
							______________________________
							(Phone Number)

LAWCHEK, LTD. LETTER PRO Samples, Copyright 2006
This is not a substitute for legal advice.  An attorney must be consulted.