Professional Small Estate Affidavit Form
Affiant Information
I, [Your Name], residing at Huntley, IL 60142, being duly sworn, hereby declare and affirm the following:
Decedent Information
The decedent, Angelo Stout, died on July 15, 2050, in the county of McHenry, state of Illinois. The decedent's residential address at the time of death was Huntley, IL 60142.
Estate Information
The total value of the decedent's estate, excluding any motor vehicles, does not exceed 25,000 dollars.
Heirs and Beneficiaries
The following persons are the only heirs and beneficiaries entitled to the decedent's estate:
Rachel Stout, Daughter
John Stout, Son
Outstanding Debts and Claims
To the best of my knowledge, the decedent did not leave any unpaid debts, taxes, or other claims against the estate except as follows:
Distribution of Assets
The affiant requests that the assets of the decedent’s estate be distributed as follows:
Family Home located at Huntley, IL 60142: Intended for Rachel Stout
Savings Account with Moon Bank: Intended for John Stout
Affirmation by Affiant
I, [Your Name], being first duly sworn, declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge, information, and belief.
Signature and Notary
[Your Name]
Subscribed and sworn to before me on this 8th day of July 2060.
Notary Public
[Notary Seal]
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