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.

• A period of at least 45 days has elapsed since the death of the decedent.

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:

• Mortgage Loan with Spark Bank

• Credit Card Debt with Life Financial

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.

• I have provided this Affidavit to fulfill the requirements of the law for the transference of the decedent's property via a small estate affidavit.

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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