Instructions to Applicants to the M.D. program: This is a fillable PDF form. Proof applicant's federal income tax return is filed from the Georgia address.Proof applicant has paid personal income tax to Georgia. Georgia Affidavit of Domicile Form. Use our Affidavit of Domicile form to verify the last home address of a deceased person to speed up the inheritance process. On this page find information regarding residency filing requirements. To be eligible for state funds, residency must be verified. You must document established domicile in the State of Georgia. Declaration of Primary State of Residency. I declare as my primary state of residency.