Indiana Code Title 5. State and Local Administration § 5-8-6-3

(1) The governor, in the case of the death of any of the following:

(2) The secretary of state, in the case of the death of an individual who holds a legislative office (as defined in IC 3-5-2.1-60).

(3) The circuit court clerk of the county in which the officeholder resided, in the case of the death of an officeholder of a county, city, town, township, or school corporation not covered under subdivision (1).

(1) state the information that causes the person to believe the officeholder has died;  and

(2) certify, under the penalties for perjury, that to the best of the person's knowledge and belief, the information stated is true.