Affidavit Of Domicile Page 2
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2that any and all debts, taxes legacies and claims against the estate have been paid or
provided for; that this affidavit is made for the purpose of securing the transfer or delivery
of property owned by the decedent at the time of his/her death to a purchaser or the person
or persons legally entitled thereto under the laws of decedent's domicile and that any
apparent inequality in distribution has been satisfied or provided for out of other assets in
the state.
Sworn to (or affirmed) before me this
____________________________________
_____________ day of _____ , 20 __
Executor
Executrix
______________________________
Administrator
Administratrix
______________________________
Survivor
(Give official capacity of official administering oath)
My Commission expires __________________
NOTARY SEAL
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