IN THE CIRCUIT COURT OF JACKSON COUNTY, MISSOURI - PROBATE DIVISION AT IN THE ESTATE OF ESTATE NUMBER , Deceased. APPLICATION OF SURVIVING SPOUSE FOR FAMILY ALLOWANCE (Sec. 474.260, RSMo) , being duly sworn, states that is the surviving spouse of decedent, who died , survived by Unmarried minor child ; and that a reasonable allowance for the maintenance of said surviving spouse* and said unmarried minor child during the period of one year after the death of said decedent, accordingto previous standard of living and taking into account the condition of decedents estate is $ , and that said allowance be paid and satisfied as follows: * by cash in the amount of $ . * by cash installments of $ per until paid. * by the transfer and conveyance to applicant of the following described property of said estate in lieu of $ of such allowance. Surviving Spouse: Address: Telephone: ( ) Subscribed and sworn to before me on Notary Public Division ClerkNotary commission expires: By Deputy Division ClerkAttorney: Address: Telephone: ( ) Fax Number: ( ) E-Mail Address: * Strike inapplicable words Form 10642