Affidavit Of Domicile

Information you will need

• What’s the affiant’s name?
• What's the current date?
• What’s the account number?
• What’s the decedent’s name?
• What’s the date of death?
• What’s the decedent’s address?
• What’s the affiant’s full name?
• Notary Only: State
• Notary Only: County
• Notary Only: Affiant Name
• What's the state of residence?
• For how many years did the decedent reside in the listed state?
• What’s the affiant’s role?
• Notary Only: Day
• Notary Only: Month
• Notary Only: Year
• Notary Only: Commission Expiration

Completed by the affiant.

The form includes 2 signature lines, a witness section.