Affidavit Of Domicile
Download a blank fillable Affidavit Of Domicile in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Affidavit Of Domicile with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1AFFIDAVIT OF DOMICILE
STATE OF ____________________________________________
)
) SS: __________________
COUNTY OF __________________________________________
)
_____________________________________________, being duly sworn deposes and says
that he/she resides at _________________________________________________________,
State of ____________________________ and is executor/administrator of the estate of
_______________________________ deceased, who died on the ___________________ day
of __________, 20_______; at the time of his/her death the domicile of said decedent was
____________________________________________________, County of ______________,
State of _______________, that this affidavit is made for the purpose of securing the
transfer or delivery of securities registered in the name of or owned by said descendent at
the time of his/her death. Affiant further says that the certificates for said shares were
physically located in the city of __________________________, County of ______________,
State of _______________________, at the date of death of the said descendent.
______________________________________
(Executor/Administrator/Survivor/Heir)
Sworn to before me this ___________
day of _____________, 20__________.
________________________________
(Notary Public – Affix Seal)
My commission Expires ___________.
(Rev. 10/02)
AFFDOM_EN_0614
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal