Download the document to the computer for easy use
There are more pages to preview，Read on
Content
AFFIDAVIT OF DOMICILE
STOCKCROSS®
Email: [email protected] | Phone: 800.225.6196 | Fax: 402.342.2486
F INAN CIAL S ERVIC ES
State of ______________________________
County of _____________________________
(Name):
, being duly sworn, deposes and says that he/she/they reside(s) at
(address)___________________________________________________,State of________ and is: (Please check and fill in
one)
Executor/rix of the Estate of _________________________________________________________________
Administrator/rix of the Estate of ______________________________________________________________
Survivor of the Joint Tenancy with_____________________________________________________________
Beneficiary of the account of _________________________________________________________________,
deceased who died at (location)_____________________________________________ on (date) ____/____/20____; at the time of his/her
death the domicile (legal residence) of said decedent was at
Same Addre