Affidavit Of Domicile printable pdf download

Affidavit Of Domicile

Affidavit of Domicile

1, __________________ , residing at ________________________, being first duly

sworn, state as follows:

I am the _____________________ [your function] of the Estate of ___________________

(“Decedent”) who died on ____________ (“Date of Death”).

At the time of death, the Decedent’s domicile was _____________, and the Decedent had

resided in the State of ___________________ and was not a resident of any other state of

the United States at the time of death.

The Decedent did not claim any state of domicile other than the State of _____________ on

any instrument or Will executed within the two years prior to death.

Certificate(s) representing ___________________ were physically located in

___________________ at the time of the Decedent’s death.

________________________

Maker of Affidavit

Subscribed and sworn to before me this ___________ day of ____________,

20____.

_______________________________

Notary Public

My Commission Expires on: ____________ , 20____

Affidavit Of Domicile