Vermont Affidavit of Domicile

STATE OF VERMONT
COUNTY OF [County Name]

Introduction:

I, [YOUR NAME], being duly sworn, depose and say:

Statement of Facts:

1. I, [YOUR NAME], residing at [YOUR ADDRESS], hereby declare my capacity as [relationship to the deceased] of the estate of the deceased.

2. As such, I am duly authorized and qualified to make this affidavit, providing truthful information concerning the domicile of the decedent as required for the legal and financial processes concerning their estate.

3. The decedent, [Decedent’s Name], who passed away on [Date of Death], was assigned the Social Security Number [Decedent’s SSN].

4. The details provided herein are essential for identifying the decedent in all matters related to their estate, including the establishment of domicile at the time of death and the consequent legal and financial proceedings necessary for the proper settlement of their estate.

5. I hereby affirm that, to the best of my knowledge and belief, the decedent was legally domiciled in the State of Vermont, County of [County Name], with a principal residence located at [Decedent’s Address] at the time of their death.

Purpose of Affidavit:

This Affidavit is executed for the purpose of establishing the jurisdiction for probating the will and settling the estate of the aforementioned decedent.

Legal Assertion:

I understand that this Affidavit is made for the purposes of legal and financial matters pertaining to the estate of the decedent and may be relied upon by courts, financial institutions, and other entities involved in the settlement of the decedent’s estate.

I declare under penalty of perjury under the laws of the State of Vermont that the foregoing is true and correct to the best of my knowledge, information, and belief.

Executed this [Day] of [Month], [Year].

Signature:

[YOUR NAME]

Sworn to and subscribed before me this [Day] of [Month], [Year].

[Notary Public’s Name]

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