Wisconsin Affidavit of Domicile
Wisconsin Affidavit of Domicile
State of Wisconsin
County of [County Name]
Introduction:
I, [YOUR NAME], being duly sworn, depose and say:
Statement of Facts:
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The decedent, [Decedent’s Name], who passed away on [Date of Death], was last known to reside at [Decedent's Address].
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This address represents the decedent's primary and legal residence at the time of their death, as understood and affirmed by the undersigned.
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The undersigned, serving as the affiant in this matter, declares a relationship to the decedent as [Relationship to the Decedent].
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The affiant's current residence is listed as [YOUR ADDRESS], with a contact telephone number of [YOUR TELEPHONE NUMBER].
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This information is provided to establish the affiant's connection to the decedent and to facilitate communication regarding the matters addressed in this affidavit.
Domicile Declaration:
I hereby declare that to the best of my knowledge and belief, at the time of death, the domicile (legal residence) of [Decedent’s Name], hereinafter referred to as the "Decedent," was in the State of Wisconsin, County of [County Name], City of [City Name].
Purpose of Affidavit:
This affidavit is made for the purpose of establishing the domicile of the Decedent in connection with the administration of the Decedent's estate and for no improper purpose.
I understand that this Affidavit will be relied upon by financial institutions, courts, and tax authorities in the course of estate administration.
I understand that making a false statement in this affidavit is subject to penalties for perjury.
Executed on this [Day] of [Month], [Year] at [City], Wisconsin.
Signature:
[YOUR NAME]
Sworn to (or affirmed) and subscribed before me this [Day] of [Month], [Year], by [YOUR NAME].
[Notary Public Name]