Affidavit of Domicile
This Affidavit of Domicile is made pursuant to the laws of the state of [State], specifically regarding matters of residency and domicile.
I, [Affiant's Full Name], residing at [Street Address], [City], [State], [Zip Code], hereby declare and affirm, under penalties of perjury, that the following statements are true:
- Residential Address: My current residential address is [Street Address], [City], [State], [Zip Code].
- Duration of Residence: I have lived at the above address since [Date].
- Prior Address: My former address was [Previous Street Address], [Previous City], [Previous State], [Previous Zip Code].
- Purpose of Affidavit: This affidavit is executed for the purpose of [Purpose, e.g., establishing residency, tax purposes, etc.].
I declare that I have no intention to leave the state of [State] and consider it my permanent residence. Attached to this affidavit are copies of documents that support my claim of domicile, including:
- [List Document 1]
- [List Document 2]
- [List Document 3]
By signing below, I affirm that the information provided in this affidavit is true and accurate to the best of my knowledge.
Signature: [Affiant's Signature]
Date: [Date]
Notary Public
State of [State]
County of [County]
Subscribed and sworn to before me this [Day] day of [Month], [Year].
Notary Public Signature: [Notary's Signature]
My commission expires: [Expiration Date]