Deceased Joint Tenancy Affidavit Form

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Deceased Joint Tenancy Affidavit
Acquest Title Services, LLC
Commiment: No.___________
State of Illinois
)
)
County of
)
_______________________ (Affiant) being duly sworn states that _______ (he/she) resides at
_______________________________________ (address) in the City of _______________________, IL.
That ____________(he/she) was acquainted with _________________________, deceased, who at the
time of ___________(his/her) death, was one of the owners of the land in _________________________
(property county) County, Illinois described as:
See Exhibit “A” attached hereto and made a part hereof
That the deceased died ________________________ (date of death) as evidenced by a certified copy of
the death certificate of the deceased attached hereto
That the deceased died:
____________________
Leaving no Last Will & Testament
(DJT left no Will “x”)
____________________
Leaving a Will & Testament a copy of which (DJT left will
Unifiled “x”)
be attached The original of the unproven will, should be
filed with the Clerk of the Probate Division of the Circuit
Court of ____________ (property county), County, IL
___________________
Leaving a Last Will & Testament which was
(DJT left will filed “x”)
filed in The Unproven Will Box of the Probate Division of
the Circuit Court of _________ (property county) County,
Illinois about ______________ (date of filing or probate
no.)
That the total value of the estate of the deceased, including both real and personal property owned by the
deceased either individually or in joint tenancy at the time of the death of the deceased, does not exceed
the sum of $ _________________ dollars (Value of Estate).
Affiant makes this affidavit for the purpose of inducing Fidelity National Title Insurance Title Company to
issue its Title Insurance Policy, describing the above-mentioned property.
__________________________________
Affiant
Subscribed and sworn to before me by the said _________________________ (Affiant) this _______of
_____________, 20_____.
______________________________________________
Notary

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