Missouri > Local Circuit Courts > 7th Circuit (Clay County) > Probate > Deceased
Statement As To Death Will On Deposit 500-D - Missouri
| Statement As To Death Will On Deposit Form. This is a Missouri form and can be used in Deceased Probate 7th Circuit (Clay County) Local Circuit Courts . |
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CIRCUIT COURT OF CLAY COUNTY, MISSOURI PROBATE DIVISION No. Matter of , Deceased. STATEMENT AS TO DEATH WILL ON DEPOSIT The undersigned *Guardian - *Conservator states to the Court that , age , who resided at , died on the day of , 20______. That said decedent left an instrument in writing purporting to be *his - * her Will, which is located at . THE STATEMENTS AND REPRESENTATIONS IN THIS DOCUMENT ARE MADE UNDER OATH AND ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THEY ARE MADE SUBJECT TO THE PENALTIES OF MAKING A FALSE AFFIDAVIT OR DECLARATION. Date: Guardian and/or Conservator *strike if inapplicable Form 500-D Page 1 of 1 Revised 3/17/2003
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