STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE SECOND JUDICIAL CIRCUIT ____________________COUNTY IN RE: THE ESTATE OF ) ) _____________________________________, Deceased. ) No. ______________ AFFIDAVIT OF HEIRSHIP SPOUSE/PARTNER AND/OR DESCENDANTS ___________________________________________________________, on oath states: 1. The Decedent, died on _______________________________ at the age of ____________. 2. I am of legal age, I reside at ____________________________________________________________________ 9 I am a _______________________________ (relationship) of the Decedent. 9 I am not related to the Decedent, but have knowledge of Decedent’s heirship as a result of the following: _____________________________________________________________________________________________ 3. 9 The Decedent was never married. 9 The Decedent was never a party to a civil union. 9 The Decedent was married __________________________ (number of marriages). 9 The Decedent was a party to a civil union ___________________ (number of civil unions). The following is information with respect thereto: Name of Spouse/Civil Partner Marriage/Civil Partnership Terminated (By death or dissolution) Predeceased Decedent - P a.______________________________ ______________________________ __________________ b.______________________________ ______________________________ __________________ c.______________________________ ______________________________ __________________ 4. 9 No child was born or adopted by the Decedent. 9 The following children, and no others, were born to or adopted by Decedent. Name of Child By Spouse/Partner Letter Minor - M Disabled - D Predeceased P (From Section 3) a.____________________________________ ____________ ____________ ____________ b.____________________________________ ____________ ____________ ____________ c.____________________________________ ____________ ____________ ____________ d.____________________________________ ____________ ____________ ____________ Affidavit Regarding Heirship w/Descendants 57 Page 1 of 3 Rev. 9/29/2011 American LegalNet, Inc. www.FormsWorkFlow.com 5. The following children, and no others, were born to or adopted by each deceased child: Deceased Child Name of each Child of Deceased Child (Grandchild) Minor - M Disabled - D Predeceased P a.______________________________ ___________________________ __________ __________ b.______________________________ ___________________________ __________ __________ c.______________________________ ___________________________ __________ __________ d.______________________________ ___________________________ __________ __________ 6. The following children, and no others, were born to or adopted by each deceased grandchild: Deceased Grandchild Name of each Child of Minor - M Predeceased Deceased Grandchild Disabled - D P (Great-Grandchild) a.______________________________ ___________________________ __________ __________ b.______________________________ ___________________________ __________ __________ c.______________________________ ___________________________ __________ __________ d.______________________________ ___________________________ __________ __________ 7. Based on the foregoing, Decedent left surviving as his or her heirs the following, all of whom survived the Decedent, and in the absence of any indication of the contrary, are of legal age and mentally competent. Name a.__________________________________________ Relationship to Decedent (Trace Relationship) _________________________________________ b.__________________________________________ _________________________________________ c.__________________________________________ _________________________________________ d.__________________________________________ _________________________________________ e.__________________________________________ _________________________________________ Affidavit Regarding Heirship w/Descendants 57 Page 2 of 3 Rev. 9/29/2011 American LegalNet, Inc. www.FormsWorkFlow.com ____________________________________________ Date _________________________________________ Affiant Subscribed and sworn to before me this ______________________________________(date). __________________________________________ Circuit Clerk or Notary Public Name____________________________________9 PRO SE Attorney Number___________________________________ Attorney for_______________________________________ Address___________________________________________ City/State/Zip______________________________________ Telephone Number__________________________________ Affidavit Regarding Heirship w/Descendants 57 Page 3 of 3 Rev. 9/29/2011 American LegalNet, Inc. www.FormsWorkFlow.com