Nebraska Affidavit of Domicile

Introduction

I, [YOUR NAME], residing at [YOUR ADDRESS], State of Nebraska, do hereby declare and affirm the following under penalty of perjury:

Statements

1. I am of legal age and competent to make this affidavit.

2. I affirm that my domicile or primary residence is located at the address provided above.

3. I have resided at the aforementioned address continuously since [COMMENCEMENT OF RESIDENCY DATE].

4. I declare that I have established my domicile in the State of Nebraska with the intention of making it my permanent and principal place of residence.

5. I understand that this affidavit of domicile may be used for taxation purposes and I hereby authorize and direct any financial institutions, governmental agencies, or other entities requiring proof of domicile to rely upon this affidavit.

Affirmation

I affirm that the information provided in this affidavit is true and correct to the best of my knowledge, belief, and understanding.

I understand that making a false statement in this affidavit is punishable under the laws of the State of Nebraska.

Signatures

[YOUR NAME]

Sworn to and subscribed before me this [DATE].

[NOTARY PUBLIC'S NAME]

[NOTARY PUBLIC'S COMMISSION NUMBER]

My Commission Expires:                               

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