PROBATE COURT PARTY INFORMATION SHEET Date filed:_____________ Case Type: (Circle) Estate No._________________ Deceased Supervised Deceased Independent Incapacitated Disabled Incapacitated/Disabled Minor Guardianship Minor Conservatorship Minor Both Spouse/Minor Refusal Creditor’s Refusal Small Estate Marriage Wavier Deceased/Respondent/Minor Name:__________________________ Address:_______________________ _______________________ D/O/B________________________ D/O/D________________________ SSN:_________________________ Personal Representative/Guardian/Conservator/Spouse/Creditor/Distributee Name:__________________________ D/O/B________________________ Address:_______________________ SSN:_________________________ _______________________ Phone Number:__________________ Attorney for Personal Representative/Guardian/Conservator Name:__________________________ Address:_______________________ BAR NO.______________________ _______________________ _______________________ Phone Number: _________________ Heirs/Devisees/Mother/Father/Sons/Daughters/Bride/Groom Name: _________________________ Address:_______________________ _______________________ Phone Number: _________________ D/O/B _________________________ D/O/D _________________________ SSN: __________________________ Name:________________________ Address: ____________________ ____________________ Phone Number: _______________ D/O/B _______________________ D/O/D _______________________ SSN: _________________________ Name: __________________________ Address: _______________________ _______________________ Phone Number: __________________ D/O/B __________________________ D/O/D __________________________ SSN: __________________________ Name: _______________________ Address: ____________________ ____________________ Phone Number: _______________ D/O/B _______________________ D/O/D _______________________ SSN: ________________________ ANY MORE HEIRS/DEVISEES/SONS/DAUGHTERS LIST ON SEPARATE SHEET OF PAPER WITH ALL INFORMATION NEWSPAPER: St. Charles Business Record American LegalNet, Inc. www.FormsWorkFlow.com