Illinois > Local County > Kane > Probate
Affidavit Of Eligibility P1-PR-005 - Illinois
| Affidavit Of Eligibility Form. This is a Illinois form and can be used in Probate Kane Local County . |
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IN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT KANE COUNTY, ILLINOIS Case No. IN THE MATTER OF THE ESTATE OF (Decedent, Minor, Alleged Disabled Person); Name: Address: City, State, Zip: Date of Death (Decedent): Date of Birth (Minor/Alleged Disabled Person): File Stamp AFFIDAVIT OF ELIGIBILITY Executor Administrator Guardian , certify that I am eighteen (18) years of age or older, I, a resident of the United States, am of sound mind, am not adjudged to be a disabled person as defined in 755 ILCS 5/11a-2, and have not been convicted of a felony. I additionally state for the purpose of of the State of Illinois. Executor Administrator Guardian of the estate that I am a resident If I am a non-resident, I designate (Name, Address, City, State and Zip) as my resident agent. Dated: Signature: Print Name: Under penalties as provided by law pursuant to 735 ILCS 5/1-109, the undersigned certifies that the statements set forth in this petition are true and correct, except as to matters stated to be on information and belief and as to such matters the undersigned certifies that he/she verily believes the same to be true. Address: City, State, Zip: Telephone Number: Social Security Number: Driver's License Number: P1-PR-005 (11/08) American LegalNet, Inc. www.FormsWorkflow.com
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