Kansas Affidavit of Domicile

Introduction

I, [YOUR NAME], being duly sworn, hereby depose and state as follows:

Statement of Facts

1. 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.

2. The decedent resided at [DECEDENT'S ADDRESS] prior to their demise.

3. To the best of my knowledge and belief, at the time of their death, the decedent was a resident of the State of Kansas.

4. The decedent held various assets, including but not limited to real estate, bank accounts, investments, and personal property, within the State of Kansas.

5. 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]

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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]

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