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Get Prudential Affidavit Of Domicile Form

Affidavit of Domicile For assistance Clients 800 225-1852 Pruco representatives 800 542-7117 Financial professionals 888 778-5471 Prudential Mutual Fund Services LLC PMFS a Prudential Financial company Instructions Read and complete all sections. Sign the form and ensure that it is notarized. State of Account number County of Decedent s Social Security Account owner s name print I of full legal age being duly sworn depose and say that I reside at City of and I am the Administrator Executor Beneficiary Surviving Joint Owner deceased who died on the of the estate of day of. Affidavit of Domicile For assistance Clients 800 225-1852 Pruco representatives 800 542-7117 Financial professionals 888 778-5471 Prudential Mutual Fund Services LLC PMFS a Prudential Financial company Instructions Read and complete all sections. Sign the form and ensure that it is notarized* State of Account number County of Decedent s Social Security Account owner s name print I of full legal age being duly sworn depose and say that I reside at City of and I am the Administrator Executor Beneficiary Surviving Joint Owner deceased who died on the of the estate of day of. At the time of his/her death the domicile legal residence of the decedent was at. If the decedent resided in another state within 3 years prior to his or her death indicate the name of the state where he or she previously resided* State of All debts taxes and claims against the decedent s estate have been paid or provided for. This affidavit is made for the purpose of securing the transfer or delivery of property owned by decedent at the time of his/her death to the person or persons legally entitled thereto under the laws of the decedent s domicile and any apparent inequality in distribution has been satisfied or provided for out of other assets in the estate. I hereby request that you follow my directions in reliance upon this Affidavit. X Authorized signature month day year Sworn to and Subscribed Before me this Affix Seal Notary Public My commission expires MF515 Ed. Sign the form and ensure that it is notarized* State of Account number County of Decedent s Social Security Account owner s name print I of full legal age being duly sworn depose and say that I reside at City of and I am the Administrator Executor Beneficiary Surviving Joint Owner deceased who died on the of the estate of day of. At the time of his/her death the domicile legal residence of the decedent was at. If the decedent resided in another state within 3 years prior to his or her death indicate the name of the state where he or she previously resided* State of All debts taxes and claims against the decedent s estate have been paid or provided for. At the time of his/her death the domicile legal residence of the decedent was at. If the decedent resided in another state within 3 years prior to his or her death indicate the name of the state where he or she previously resided* State of All debts taxes and claims against the decedent s estate have been paid or provided for. This affidavit is made for the purpose of securing the transfer or delivery of property owned by decedent at the time of his/her death to the person or persons legally entitled thereto under the laws of the decedent s domicile and any apparent inequality in distribution has been satisfied or provided for out of other assets in the estate..

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