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Compliments of Greater Illinois Title Company; for Internal and External Use.
Universal Doc Ref: GP_IEF0005-20050514-R1-0
DECEASED JOINT TENANCY AFFIDAVIT
STATE OF ILLINOIS } ss. Order Number: ___________________
County of __________________________ }
______________________________________________________ being duly sworn, states that _________________________
resides at ______________________________________________ in the city of ______________________________________ .
Th
at _________________________________________________ was acquainted with _________________________ deceased
w
ho, at the time of ________________________________________________________death, was one of the owners of the land
in
_____________________________________________________________________County, Illinois, described as:
That
the deceased died _____________________________________ , as evidenced by a certified copy of the death certificate
of
the deceased attached hereto.
That the deceased died:
___ Leaving no Last Will & Testament.
___ L
eaving a Last Will & Testament a copy of which is attached hereto. The original of the unproven Will should be filed with
the
Clerk of the Probate Division of the Circuit Court of _____________________________________________County, Illinois.
_
__ Leaving a Last Will & Testament which was filed in the Unproven Will Box of the Probate Division of the Circuit Court of
__
_________________________________ County, Illinois about ________________________________________________ .
That
the total value of the estate of the deceased, including both real and personal property owned by the deceased either
indivi
dually or in joint tenancy at the time of the death of the deceased, does not exceed the sum of
__
________________________________________ .
Affiant makes this affidavit for that purpose of inducing the Greater Illinois Title Company to issue it’s Title Insurance Policy,
d
escribing the above mentioned property.
S
ubscribed and sworn to before me by the said ________________________________________.
Th
is _______________________________ day of _______________________, 20___.
__
________________________________________
(Affiant Signature)
__
________________________________________
(Notary Public)
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