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Get Affidavit Of Non Ohio Domicile Form

Social Security no. Spouse s rst name (only if joint af davit) M.I. Last name Spouse s Social Security no. (only if joint af davit) Current mailing address County City, state, ZIP code Under penalties of perjury, I declare all of the following to be true: 1. I was not domiciled in Ohio at any time during taxable year 2012. I was domiciled in Name of city (or cities), state(s) (if within the U.S.) and country (if not within the U.S.) where I was domiciled. 2. I had at least o.

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