Example Affidavit Of Domicile Form printable pdf download

Example Affidavit Of Domicile Form

Example Affidavit of Domicile

AFFIDAVIT OF DOMICILE

State of:__________________________

County of:________________________

I, ____________________________________, of full legal age, being duly sworn, do depose and say

that: I reside at ____________________________________________________ City of

___________________________ State of ______________________________, and I am the

Executor/Administrator of the Estate of ______________________________, deceased, who died on

the ________ day of _____________________, 20___. At the time of death, the legal residence of

said decedent was _____________________________, City of ______________________________,

State of _________________________. He/she resided in the State of _________________________

for approximately ___________ years prior to death and was not a resident of any other state within

the United States of America.

(X)______________________________________________

(Deponent)

Sworn to and subscribed

before me this ____ day of

(Notarization Required)

_________________, 20___.

Example Affidavit Of Domicile Form