Affidavit Of Domicile

This review list is offered to educate you about the document and to aid you in preparing it. An Affidavit of Domicile is a useful document to have and make in order to recover assets and to file state and federal estate tax returns, when applicable. This document is especially critical if the Decedent resided in many states, particularly if one was a higher-taxed state for Estate tax purposes.

 

1. In the presence of a notary public, sign the Affidavit of Domicile.

 

2. Keep a copy of the Affidavit with your estate records.

 

3. Deliver the original, together with any other required documents, to the company or broker managing the transfer of the property you are transferring and who requires a copy of this Affidavit. Additionally, a “Stock Power” and “Letters of Appointment” declaration or certificate may be included.

 

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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