Oregon Affidavit of Domicile

Oregon Affidavit of Domicile

STATE OF OREGON

COUNTY OF [COUNTY NAME]

Introduction:

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

Statement of Facts:

  1. The decedent, named [Decedent's Name], passed away on [Date of Death].

  2. At the time of death, the decedent resided at [Decedent's Last Known Address].

  3. This address represents the decedent's last known domicile, located within the jurisdiction of the State of Oregon, specifically in the county of [County Name].

  4. I am the duly appointed and acting [Executor/Administrator] of the estate of said Decedent, or have another legal relationship as follows: [Describe relationship].

  5. At the time of death, the Decedent was domiciled in the State of Oregon, County of [County Name], at the address listed above.

  6. The Decedent had not changed their domicile for [number of years/months] prior to the date of death.

Purpose of Affidavit:

This Affidavit is made for the purpose of transferring assets in accordance with the laws of the State of Oregon.

Sworn Statement:

I understand that this Affidavit is made under oath and that making a false statement in this Affidavit constitutes the offense of perjury under the laws of the State of Oregon.

Signature:

[YOUR NAME]

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

[NOTARY PUBLIC NAME]

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