Free Kansas Affidavit of Domicile Template
Kansas Affidavit of Domicile
Introduction
I, [YOUR NAME], being duly sworn, hereby depose and state as follows:
Statement of Facts
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I am the duly appointed executor of the estate of [DECEASED'S NAME], the Decedent, who passed away on [DATE OF DEATH], domiciled in the State of Kansas.
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The decedent resided at [DECEDENT'S ADDRESS] prior to their demise.
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To the best of my knowledge and belief, at the time of their death, the decedent was a resident of the State of Kansas.
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The decedent held various assets, including but not limited to real estate, bank accounts, investments, and personal property, within the State of Kansas.
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Attached hereto as Exhibit A is a true and accurate copy of the death certificate of the decedent, which indicates their date and place of death.
Sworn Oath
I hereby swear under penalty of perjury that the foregoing statements are true and correct to the best of my knowledge, information, and belief.
Executed on this [DATE] day of [MONTH], [YEAR].
[YOUR NAME]
Executor of the Estate of [DECEASED'S NAME]
Notarization
State of Kansas
County of [COUNTY]
Subscribed and sworn to before me on this [DATE] day of [MONTH], [YEAR].
Notary Public
My Commission Expires: [EXPIRATION DATE]
[NOTARY SEAL]
