Illinois Small Estate Affidavit
Introduction
This Small Estate Affidavit is issued by the [COUNTY NAME] Probate Court of the State of Illinois to inform the beneficiaries of the estate of [DECEDENT'S NAME] about the assets left behind by the deceased individual.
We, the undersigned, declare the following information regarding the estate of the deceased individual:
Statement of Facts
Personal Information of Deceased Person:
Full Name: [DECEDENT'S NAME]
Date of Birth: [DECEDENT'S BIRTH DATE]
Date of Death: [DECEDENT'S DEATH DATE]
Assets Left Behind:
Total Value of Assets:
Beneficiaries/Heirs:
Purpose of Affidavit:
Verification:
Signature

[YOUR NAME]
For any inquiries or further assistance regarding the estate of [DECEDENT'S NAME], please contact the [COUNTY NAME] Probate Court using the contact information provided above.
Sincerely,

[CLERK'S NAME]
Clerk
[PROBATE COURT NAME]
[DATE]
Affidavit Templates @ Template.net