Free $$WRK1$$ - Illinois

q 0004 Supervised q 1004 Jury q 0005 Independent q 1005 Jury Petition For Letters Of Administration

(Rev. 11/2/01) CCP 0302

IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Estate of ________________________________________ Deceased No. ________________________ Docket ______________________ Page _______________________
Hearing on petition set for __________________, ________ __________ M., Room _______ Richard J. Daley Center Chicago, Illinois 60602 2605

PETITION FOR LETTERS OF ADMINISTRATION
1.

_______________________________________________________, states under the penalties of perjury: _______________________________________________, whose place of residence at the time of death was ________________________________________________________________________________
(address) (city) (county) (state) (zip)

died ____________________, _______, at ______________________________________ leaving no will.
(city) (state)

2.

The approximate value of the estate in this state is: Personal $ ______________________ Real $ ______________________

Annual Income From Real Estate $ ______________________

3. 4.

The names and post-office addresses of decedent's heirs are set forth on Exhibit A and made a part of this petition. (Indicate the relationship and whether an heir is a minor or disabled person.) The names and post-office addresses of persons who are entitled to nominate and/or administer in preference to (P) or equally with (E) petitioner are set forth on Exhibit A of this petition. If none, so state: __________________________________. Petitioner is a _______________________________ of decedent and is legally qualified to act (or to nominate a resident of Illinois to act) as administrator.

5.

*6 The name and post-office address of the personal fiduciary designated to act during independent administration for each heir, who is a minor or disabled person, are shown on Exhibit A of this petition. Petitioner asks that Letters of Administration issue to the following person(s), qualified and willing to act: Name Post-Office Address

Atty. No. _______________ Atty. Name: _____________________________________ Firm Name: ____________________________________ Address: _______________________________________ City/State/Zip: ___________________________________ Telephone: ______________________________________

____________________________________
Petitioner Address: _____________________________ City/State/Zip: _________________________ Telephone:

____________________________

Atty. Certification ______________________

If a consul or consular agent is to be notified, name country: _______________________________ *If supervised administation is requested, so state and strike Paragraph 6.
DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS