Affidavit Of Domicile
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Affidavit Of Domicile Form. This is a Massachusetts form and can be use in Plymouth County.
Loading PDF...
Tags: Affidavit Of Domicile, Massachusetts County, Plymouth
)
) SS
)
STATE OF
COUNTY OF
AFFIDAVIT OF DOMICILE
, being duly sworn, deposes and says
That he/she resides at
State of
and is the
of
Deceased; who died at
(i.e.son/daughter/Petitioner/Fiduciary)
day of
on the
,
;
At the time of his/her death the domicile (legal residence) of said decedent was at
State of
County of
;
That the decedent resided at such address for
that the decedent last voted in the year
at
;
State of
years, such residence having commenced on
County of
That decedent's principal place of business at the time of his death was at
County of
State of
;
That the Decedent's most recent Federal income tax return showed his legal residence as
County of
State of
;
That within three years prior to death, decedent was not a resident of another State. If decedent resided in another State
within three years prior to death, set forth the name of the state and the facts as to change of residence and establishment of
final domicile:
Sworn to (or affirmed) before me, this
day of
, 20
(Give official capacity of official administering oath)
My commission expires:
(Notary Seal)
pcpfc - c.g.f.
