AFFIDAVIT OF DOMICILE
AFFIDAVIT OF PERSONAL REPRESENTATIVE
(Without Will)
STATE OF WASHINGTON )
) ss.
COUNTY OF KING )
Martha Washington, being first duly sworn upon oath, declares as follows:
1. On January 1, 2004, I received from the King County, Washington, Superior Court Clerk's Office a certified copy of my Letters of Administration (a copy of which is attached), authorizing me to act as Personal Representative in the matter of Estate of George Washington, Deceased, King County Superior Court Case Number 00-0-00000-0 SEA.
2. I am the current and acting Personal Representative (ie, Administrator), and my Letters of Administration are current and have been neither terminated nor revoked.
Dated: ____________________
_____________________________
Martha Washington
SUBSCRIBED & SWORN TO before me on: ______________________
_____________________________
Signature of Notary
_____________________________
Printed Name of Notary
NOTARY PUBLIC in and for the State of Washington, residing at:______________________
My appointment expires on: __________________
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