AFFIDAVIT OF RESIDENCE Re: Estate of_________________________________ STATE OF NEW JERSEY ss: COUNTY OF OCEAN ___________________________________________________________________residing at ____________________________________________________________being duly sworn, deposes and says: That I am a disinterested party to the estate of the above named decedent who died on ____________________________. The information on the death certificate concerning the residence of the said decedent is not correct. At the time of death, the legal residence of said decedent was__________________________________________________________, in the County of Ocean, State of New Jersey and that said decedent resided in the State of New Jersey for _____ years prior to death, and was not a resident of any other state within the United States of America at the time of death. __________________________________ Subscribed and sworn to before on _____________________________ _____________________________ Notary Public (AFFIX SEAL) American LegalNet, Inc. www.FormsWorkflow.com