Oregon Affidavit of Domicile
STATE OF OREGON
COUNTY OF [COUNTY NAME]
Introduction:
I, [YOUR NAME], being duly sworn, depose and say:
Statement of Facts:
The decedent, named [Decedent's Name], passed away on [Date of Death].
At the time of death, the decedent resided at [Decedent's Last Known Address].
This address represents the decedent's last known domicile, located within the jurisdiction of the State of Oregon, specifically in the county of [County Name].
I am the duly appointed and acting [Executor/Administrator] of the estate of said Decedent, or have another legal relationship as follows: [Describe relationship].
At the time of death, the Decedent was domiciled in the State of Oregon, County of [County Name], at the address listed above.
The Decedent had not changed their domicile for [number of years/months] prior to the date of death.
Purpose of Affidavit:
This Affidavit is made for the purpose of transferring assets in accordance with the laws of the State of Oregon.
Sworn Statement:
I understand that this Affidavit is made under oath and that making a false statement in this Affidavit constitutes the offense of perjury under the laws of the State of Oregon.
Signature:
[YOUR NAME]
Subscribed and sworn to before me this [Day] of [Month], [Year].
[NOTARY PUBLIC NAME]
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