Application fl 2025

1. Click ‘Get Form’ to open the application fl in the editor.
2. Begin by entering your name and mailing address in the designated fields. Ensure that you accurately state your relationship to the decedent.
3. Fill in the decedent's name, last known address, social security number, age at death, and date of death. This information is crucial for processing your application.
4. List all beneficiaries of the decedent’s estate along with their addresses and relationships. If any beneficiaries are minors, include their dates of birth.
5. In Section A, detail funeral expenses including service provider names and whether bills are paid or due. Attach any relevant receipts.
6. For Section B, list medical and hospital expenses incurred during the last 60 days of illness. Again, indicate if these bills are paid or outstanding.
7. Complete Section C by listing other debts owed by the decedent along with amounts owed to each creditor.
8. In Sections D and E, provide details about exempt and non-exempt assets respectively. Include descriptions, locations, and values at death.
9. Finally, review all sections for accuracy before signing and submitting your application.

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