Free Indiana Affidavit of Domicile Template

INDIANA AFFIDAVIT OF DOMICILE

INTRODUCTION

I, [Your Name], being duly sworn, hereby depose and state as follows:

STATEMENT OF FACTS

  1. I am over the age of eighteen (18) years and am competent to make this affidavit.

  2. I am the [Relationship to Deceased] of the estate of [Deceased's Name], who passed away on [Date of Death] in the County of [County Name], Indiana.

  3. To the best of my knowledge, information, and belief, at the time of [Deceased's Name]'s death, the decedent's domicile was in the State of Indiana.

  4. The decedent's last known address was [Decedent's Last Known Address], located in the County of [County Name], State of Indiana.

  5. The decedent was not a resident of any other state at the time of their death, to the best of my knowledge.

  6. Attached hereto as Exhibit A is a copy of the decedent's Indiana driver's license, which reflects the address of [Decedent's Address].

  7. Attached hereto as Exhibit B are utility bills for the property located at [Decedent's Address], which were in the name of the decedent.

Sworn Oath

I declare under penalty of perjury under the laws of the State of Indiana that the foregoing is true and correct.

Signature

[Your Name]
Affiant

Subscribed and sworn to before me this [Day] day of [Month], [Year].

[Notary Public's Name]

Notary Public in and for the State of Indiana

My Commission Expires: [Expiry Date]

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