PROBATE SUBMISSION

Name
Mailing Address
Name of Decedent
If you are unsure, see the death certificate
MM slash DD slash YYYY
MM slash DD slash YYYY
Medicaid is the program which pays for nursing home or long-term care
– For example: Spouse, Son, or Daughter
— make sure to include deceased children (if a child is deceased list his/her date of death and his/her children, if any)
– This would include expenses you may have advanced after death.
– This would include expenses you may have advanced after death.
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