STATE OF FLORIDA
COUNTY OF [COUNTY NAME]

Introduction:

I, [YOUR NAME], being duly sworn, depose and say:

Statement of Purpose:

1. I, [YOUR NAME], in my capacity as [Executor/Administrator/Relative] of the estate of [Decedent's Name], hereby affirm and declare.

2. [Decedent's Name], hereinafter referred to as the Decedent, passed away on [Date].

3. The Social Security Number of the Decedent is [SSN].

4. This affidavit is executed in accordance with the laws of the State of Florida and is made to assert and confirm the domicile of the Decedent for all relevant legal and tax purposes, including but not limited to the determination of the applicable state for estate or inheritance tax purposes.

5. I hereby declare that, to the best of my knowledge and belief, the decedent was legally domiciled in the State of Florida at the time of their death, with a principal residence address at [Principal Address].

6. The decedent owned property in multiple states. Notwithstanding, the decedent's principal and permanent home was located in Florida. The following is a list of states where the decedent owned property: [List States].

7. The decedent considered Florida their permanent home and intended to return to it whenever they were absent.

8. This affidavit is made for the purpose of establishing the State of Florida as the applicable state for estate or inheritance tax purposes concerning the decedent's estate.

Additional Statements:

I make this affidavit in good faith, based on personal knowledge, family records, and documents available to me regarding the decedent's domicile and property holdings.

Signature:

[YOUR NAME]

Subscribed and sworn to before me this [DAY] of [MONTH], [YEAR].

[Notary Public Name]

Affidavit Templates @ Template.net