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Affidavit of Domicile Guide

This affidavit of domicile establishes that the deceased, whose estate is being settled, was domiciled in a particular state at the time of death. It identifies the deceased's role in the estate, their place of residence and domicile, and that they had not claimed domicile in any other state in the last two years. It was signed by the maker of the affidavit and notarized. The document helps to collect assets and file any necessary estate tax returns by clearly establishing the deceased's legal domicile.

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100% found this document useful (1 vote)
613 views2 pages

Affidavit of Domicile Guide

This affidavit of domicile establishes that the deceased, whose estate is being settled, was domiciled in a particular state at the time of death. It identifies the deceased's role in the estate, their place of residence and domicile, and that they had not claimed domicile in any other state in the last two years. It was signed by the maker of the affidavit and notarized. The document helps to collect assets and file any necessary estate tax returns by clearly establishing the deceased's legal domicile.

Uploaded by

Vochari
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Affidavit of Domicile

1, __________________ (State Your Role), residing at ________________________,


being first duly sworn, state as follows:

I am the _____________________ (Your Role) of the Estate of ___________________


(Decedent) who died on ____________ (Date of Death).

At the time of death, the Decedent's domicile was _____________________________,


and the Decedent had resided in the State of ___________________ and was not a
resident of any other state of the United States at the time of death.

The Decedent did not claim any state of domicile other than the State of _____________
on any instrument or Will executed within the two years prior to death.

Certificate(s) representing ___________________ were physically located in ________,


at the time of the Decedent's death.

__________________
Maker of Affidavit

Subscribed and sworn to before me this __ day of ________, 20__.

_____________
Notary Public
My Commission Expires on: ______________
Affidavit of Domicile
Review List

This review list is provided to inform you about the document in question and assist you
in its preparation. An Affidavit of Domicile is a good document to have and create for the
purpose of collecting assets as well as for filing state and federal estate tax returns,
should they be due. This document is especially important to have in place if Decedent
lived in different states, especially if one was a higher taxed state for Estate tax
purposes.

1. The Affidavit of Domicile should be signed in the presence of a notary public.

2. Make a copy of the Affidavit to keep with your records pertaining to the estate.

3. Provide the original, along with other necessary documents to the corporation or
broker who will be handling the transfer of what you are transferring that requires a
copy of this Affidavit. Other necessary documents to include may be a "Stock Power"
and "Letters of Appointment" statement or certificate.

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