Free DOMICILE.PDF - New Jersey

Affidavit of Domicile

Re: Estate of_______________________________ __________________________________________ Name of Company or Institution

State of New Jersey
County of Ocean ss:

___________________________________________________________residing at ______________________________________________________________, being duly sworn, deposes and says: I am the (Executor/rix/Administrator/rix/Survivor in Joint Tenancy) of ____________________________________________________, deceased, who died on _________________________. At the time of death, the domicile (legal residence) of the said decedent was_______________________________________________________and that said decedent resided in the State of New Jersey for _______ years prior to his or her death, and was not a resident of any other State within the United States of America at the time of death.

_____________________________________ Subscribed and sworn to before me on ________________________________

________________________________ Signature & Title of Official My Commission expires_____________ (AFFIX SEAL)