NORTH DAKOTA 
AFFIDAVIT OF DOMICILE
I, [Your Name], being duly sworn, hereby depose and state the following: 
STATEMENT OF FACTS
- I am of legal age and mental capacity to execute this affidavit. 
- I am the [Relationship to Deceased] of the deceased individual, [Deceased's Name], who died on [Date of Death], within the jurisdiction of [County Name], State of North Dakota. 
- I can affirm, based on my knowledge and belief, that at the time of [Deceased's Name]'s demise, their primary and permanent abode was situated at [Deceased's Address], State of North Dakota.  
- Documentation indicates that [Deceased's Name] possessed a valid driver's license issued by the state of North Dakota, which listed the aforementioned address as their residence. 
- According to electoral records, [Deceased's Name] was registered to vote in elections conducted within the State of North Dakota, utilizing the provided address for voter registration purposes. 
- Real estate records confirm that [Deceased's Name] owned property located at [Deceased's Address], which served as their principal dwelling and was subject to property tax assessments within [County Name].  
- [Deceased's Name] was an active member in the community, as evidenced by their participation in local events and membership in various civic organizations within North Dakota.   
OATH AND DECLARATION 
I attest that all foregoing statements are true and accurate to the best of my knowledge, understanding, and belief. 
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 North Dakota 
My Commission Expires: [Expiry Date] 
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