Affidavit of Domicile

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									Affidavit of Domicile
Save time and money by customizing this Affidavit of Domicile to authenticate the last
place of residence of a deceased person. An executor, administrator, or probate court
may require this affidavit in order to determine the residence of the deceased in order to
file insurance claims, transfer assets, transfers stocks, or transfer property. This form is
often used to transfer stocks, but it can be customized for any type of property. This
form is ideal for individuals involved in the probate process that need to submit an
Affidavit of Domicile to verify the last residence of a recently deceased person.
                                  AFFIDAVIT OF DOMICILE

STATE OF ___________________

COUNTY OF ___________________


_______________, being duly sworn according to law, deposes and attests under penalty of
perjury to the following:

I, _______________, of _______________, _______________,                               _______________
_______________, being first duly sworn on oath, state that:

    1. I am over 18 years of age and competent enough to testify of my own knowledge of the
       facts stated herein.

    2. All the facts stated by me herein are true, correct and complete to the best of my
       knowledge and understanding.

    3. I was acquainted with _______________, the Decedent, who died on _______________.
       I had known the Decedent for _______________ before their death.

    4. The Decedent was residing in the city of _______________ in the state of
       _______________ at the time of their death. The Decedent had been residing at this
       location for _______________ before their death. The Decedent was not a resident of any
       other state at the time of death.

    5. The     property   subject   to    this   affidavit   is   as    follows:
       ________________________________________________________________________
       ________________________________________________________________________
       ________________________________________________________________________
       ________________________________________________________________________

I swear that to the best of my knowledge, the information contained in this affidavit is true and
correct as of _______________.

Printed Name of Affiant: _______________

Signature of Affiant: _________________________________________
Signed on _______________

Address   of    Affiant:               _______________,             _______________,   _______________
_______________




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NOTARY CERTIFICATION

SWORN to and subscribed before me, this the ____ day of _____________, 20____.


_____________________________
NOTARY PUBLIC

My Commission Expires:

___________________




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