Affidavit Of Eligibility
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Affidavit Of Eligibility Form. This is a Illinois form and can be use in Kane Local County.
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Tags: Affidavit Of Eligibility, P1-PR-005, Illinois Local County, Kane
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)
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