LOUISIANA AFFIDAVIT OF DOMICILE
State of Louisiana 
Parish of [Parish Name]
I, [Your Name], being duly sworn, depose and state as follows:
Statement of Facts
- I am over the age of eighteen (18) years and am competent to make this affidavit. 
- I am the [Relationship to Deceased] of the estate of [Deceased's Name], who passed away on [Date of Death] in the Parish of [Parish Name], Louisiana.   
- To the best of my knowledge, information, and belief, at the time of [Deceased's Name]'s death, the decedent's domicile was in the State of Louisiana. 
- The decedent's last known address was [Decedent's Address], located in the Parish of [Parish Name], State of Louisiana.  
- The decedent was not a resident of any other state at the time of their death, to the best of my knowledge. 
- Attached hereto as Exhibit A is a copy of the decedent's Louisiana driver's license, which reflects the address of [Decedent's Address]. 
- Attached hereto as Exhibit B are utility bills for the property located at [Decedent's Address], which were in the name of the decedent. 
Sworn Oath
I declare under penalty of perjury under the laws of the State of Louisiana that the foregoing is true and correct.
Signature 

[Your Name]
Affiant
Subscribed and sworn to before me this [Day] day of [Month], [Year].

[Notary Public's Name]
Notary Public for the State of Louisiana 
My Commission Expires: [Expiry Date]
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