Indiana Affidavit of Domicile
INDIANA 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 over the age of eighteen (18) years and am competent to make this affidavit.
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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.
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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.
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The decedent's last known address was [Decedent's Last Known Address], located in the County of [County Name], State of Indiana.
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The decedent was not a resident of any other state at the time of their death, to the best of my knowledge.
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Attached hereto as Exhibit A is a copy of the decedent's Indiana driver's license, which reflects the address of [Decedent's Address].
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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]