Section 4.77 Probate Fact Sheet

LibraryEstate Admin 2014 Forms

Estate of _______________, Deceased

Probate Fact Sheet

Client No. City/County of ____________________________________

Probate Division

Estate No.

1.Deceased also known as: ______________________________________________________

2.Home address: ______________________________________________________________

Since: _____________________________________________________________________

3.Domicile in Missouri since: _______________________ to: __________________________

4.Parents’ names: ______________________________________________________________

5.Deceased’s birth date: ________________________________________________________

Place: _____________________________________________________________________

6.Wedding date: ______________________________________________________________

Place: _____________________________________________________________________

7.Date of death: ______________________________________________________________

Place: _____________________________________________________________________

8.Date of burial: ______________________________________________________________

Place: _____________________________________________________________________

9.Funeral director: _____________________________________________________________

Address: ___________________________________________________________________

Phone...

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