Missouri Affidavit of Domicile
STATE OF MISSOURI
COUNTY OF [COUNTY NAME]
Introduction:
I, [YOUR NAME], of [YOUR ADDRESS], in the County of [County Name], State of Missouri, being duly sworn, depose and say:
Statement of Facts:
The decedent, [Decedent’s Name], passed away on [Date of Death].
At the time of death, [Decedent’s Name] resided at [Decedent’s Last Residential Address], located in the city of [City Name], county of [County Name], within the State of Missouri.
This address was recognized as the legal and primary residence of the decedent, affirming their domicile within the state at the time of their passing.
I am the [Relationship to the Decedent], and I have personal knowledge of the decedent’s domicile at the time of their death.
It has come to my attention that the domicile of [Decedent’s Name] at the time of their death is contested, with claims that their domicile was outside of Missouri.
I hereby affirm that [Decedent’s Name] was a legal resident and domiciled in the State of Missouri at the time of their death. This affirmation is based on the following evidence:
Evidence 1: [Description of evidence supporting Missouri domicile, e.g., property ownership in Missouri].
Evidence 2: [Description of additional evidence, e.g., Missouri driver’s license, voter registration].
Further Evidence: [Any additional evidence or details, e.g., social ties, community involvement in Missouri].
Purpose of Affidavit:
This affidavit is made for the purpose of being submitted to [Relevant Legal Entity or Financial Institution] to assert the Missouri domicile of [Decedent’s Name] in light of the contested claims regarding their domicile.
Legal Acknowledgment:
I understand that this affidavit is made under oath and subject to the penalties of perjury under the laws of the State of Missouri.
Executed on this day of [Date], [Year].
Signature:
[YOUR NAME]
Subscribed and sworn to before me this [Day] of [Month], [Year].
[Notary Public’s Name]
Notary Public, State of Missouri
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