2403 Petition For Letters Of Administration To Collect IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Estate of
(Rev. 12/18/00) CCP 0301
____________________________________________
Deceased
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No. ______________________________ Docket ____________________________ Page _____________________________
PETITION FOR LETTERS OF ADMINISTRATION TO COLLECT
___________________________________________________________________________________ on oath states: 1. _______________________________________________________, whose place of residence at the time of death was ______________________________________________________________________________________________, died
(Address) (City) (County) (State)
__________________________________, _________, at ______________________________________________
(City and State)
2.
Approximate value of the estate in this state: Personal $ ____________________ Real $ _____________________
Annual income from real estate $ _____________________
3.
A petition for letters of office has been filed and there will be a delay in the issuance of letters because _______________________________________________________________________________________________ and the estate is liable to waste, loss or embezzlement unless an administrator to collect is appointed.
4.
Petitioner is an interested person because ______________________________________________________________________________________________ Petitioner asks that letters of administration to collect issue to the following, qualified and willing to act:
______________________________________________ Name
______________________________________________ Post-office Address
____________________________________
Petitioner
Atty. No.:__________________ Name: _____________________________________________ Atty. for Claimant: _______________________________ Address: __________________________________________ City/State/Zip: _____________________________________ Telephone: ________________________________________
Address _______________________________________________ City/State/Zip __________________________________________ Signed and sworn to before me ____________________, ________ __________________________________________ Notary Public
DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS