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Proof Of Death Form. This is a Illinois form and can be use in St. Clair Local County.
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Tags: Proof Of Death, Illinois Local County, St. Clair
STATE OF ILLINOIS
St. Clair County
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PROOF OF DEATH
__________________________________________ being duly sworn, deposes and says that
___________________________________________________________, late of the __________
of______________________, in the County of St. Clair and State of Illinois, departed this life at
___________________________, in said County, on or about the ________________day of
_________________________________________, 20_____, and that ___________died leaving
__________ Last W ill and Testam ent to the best of ________________ knowledge and belief
and that __________died, aged_________years,_________, months,_______ days.
____________________________________
Subscribed and sworn to before this ________ day of _____________, AD 20_______.
KAHALA DIXON, Circuit Clerk
By: ________________________________Deputy
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