Small Estate Affidavit Page 2
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47. ( a ) All of the decedent's funeral expenses have been paid, or
( b ) The amount of the decedent's unpaid funeral expenses and the name and post
office address of each person entitled thereto are as follows:
Name and post office address
Amount
(Strike either 7(a) or 7(b).)
8.
There is no known unpaid claimant or contested claim against the decedent,
except as stated in paragraph 7.
9. ( a ) The names and places of residence of any surviving spouse, minor children and
adult dependent children* of the decedent are as follows:
Name and
Place of
Age of
Relationship
Residence
Minor Child
*(Note: An adult dependent child is one who is unable to maintain himself and is likely to
become a public charge.)
( b ) The award allowable to the surviving spouse of a decedent who was an Illinois
resident is $___________________ ($10,000, plus $5,000 multiplied by the number of minor
children and adult dependent children who resided with the surviving spouse at the time of
the decedent's death. If any such child did not reside with the surviving spouse at the
time of the decent's death, so indicate).
( c ) If there is no surviving spouse, the award allowable to minor children and
adult dependent children of a decedent who was an Illinois resident is $________________
($10,000, plus $5,000 multiplied by the number of minor children and adult dependent
children), to be divided among them in equal shares.
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