affidavit of domicile

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					                           EXAMPLE OF AFFIDAVIT OF DOMICILE


                                   AFFIDAVIT OF DOMICILE

               (One affidavit required at time of transfer for the stock of each company)


STATE OF_______________

COUNTY OF_________________             RE:_______________________________________________
                                              (Name of Company)

__________________________________________________________ residing

at ___________________________________________________________ being
duly sworn, disposes and says


                                              ( ) Executor
                                              ( ) Administrator
I am_________________________________________ ( ) Survivor in Joint Tenancy
      (Name)

of (name of deceased) _________________________________________who

died on_____________________________and that he/she resided in the State

of__________________________ for _______ years prior to his/her death, and was not
a resident of any (other) State within the United States of America at the time of death.


_____________________________________
(Legal Signature)

Sworn to before me a Notary Public

this ______day of_____________________

____________________________________________________________

My commission expires _________________________________________

				
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Description: This is an example of affidavit of domicile. This document is useful in conducting affidavit of domicile.