Free affidavit of domicile 07Free affidavit of domicile 07
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LEGG MASON FAMILY OF FUNDS

Affi davit of Domicile
STATE OF __________________

COUNTY OF __________________

I, ____________________________________________________ , of full legal age, being duly sworn, do depose and state that:

I reside at ____________________________________________________________________________,

City of _____________________________________________________, State of ______________________________________

and I am the ( ) Executor ( ) Administrator ( ) Surviving Joint Tenant ( ) Other: ____________________________________
(Specify Relationship)
of _____________________________________________________________________________________________ deceased,

who died on the ______________ day of ____________ , 20 _____. At the time of death, the legal residence of said decedent was:

_________________________________, City of _________________________ , County of _______________ , State of______.

He/She resided in the State of _______________ for approximately ______