IN THE CIRCUIT COURT OF JACKSON COUNTY, MISSOURI - PROBATE DIVISION AT IN THE ESTATE OF ESTATE NUMBER , Deceased. APPLICATION OF SURVIVING SPOUSE FOR HOMESTEAD ALLOWANCE (Sec. 474.290, RSMo) , being duly sworn, states that is thesurviving spouse of decedent, that the date of publication of notice of the granting of letters on the estate ofdecedent was ; that is entitled to a homestead allowance under Sec.474.290, RSMo. WHEREFORE, applicant prays that be g ranted a homestead allowance of an amount not exceeding50% of the value of this estate, exclusive of exempt property, and any allowance made under Sec. 474.260, RSMo.,and that the personal representative of this estate, be authorized and directed to pay and satisfy said allowance asfollows: * all in cash. * by cash installments of $ per until completely paid. * by the transfer and conveyance to applicant of the following described property of said estate in lieu of $ of such allowance, the balance to paid in cash. The undersigned swears that the matters set forth are true and correct to the best knowledge and belief ofthe undersigned, subject to the penalties of making a false affidavit or declaration. Dated: . Surviving Spouse: Address: Telephone: ( ) Attorney: MO BAR NoAddress: Telephone: ( ) Fax Number: ( ) E-MAIL ADDRESS: Form 10644