Mississippi Affidavit of Domicile
Introduction
I, [YOUR NAME], being duly sworn, depose and state as follows:
State of Facts
I am the duly appointed executor of the estate of [DECEDENT'S NAME], the deceased, who resided at [DECEDENT'S ADDRESS], Mississippi.
The decedent passed away on [DATE OF DEATH], at the aforementioned address.
To the best of my knowledge, information, and belief, at the time of death, the decedent was domiciled in the State of Mississippi.
The decedent resided at the aforementioned address as their primary and permanent residence.
The decedent did not maintain a permanent residence in any other state.
Sworn Oath
I declare under penalty of perjury under the laws of the State of Mississippi that the foregoing is true and correct.
Executed this [DATE] day of [MONTH], [YEAR].
[YOUR NAME]
Notary Acknowledgment
State of Mississippi
County of [COUNTY NAME]
On this [DATE] day of [MONTH], [YEAR], before me, a Notary Public in and for said County and State, personally appeared [YOUR NAME], known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged that he/she executed the same for the purposes therein contained.
Witness my hand and official seal the day and year aforesaid.
[NOTARY PUBLIC NAME]
My Commission Expires: [COMMISSION EXPIRY DATE]
[NOTARY SEAL]
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