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4261 Oath And Bond Of Representative - No Surety IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT - PROBATE DIVISION Estate of

(Rev. 7/5/00) CCP 0313

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No. __________________________________ Docket _______________________________ Page ________________________________

OATH AND BOND OF REPRESENTATIVE-NO SURETY

I, _____________________________________________________________, on oath state that I will discharge faithfully the duties of the office of representative, and I acknowledge that I am bound to the People of the State of Illinois to the faithful discharge of those duties in an amount equal to double the value from time to time of the personal estate.

APPROVED: ______________________________________, ________ _______________________________________________ Judge Judge's No.

_____________________________________________ Address _____________________________________ _____________________________________________

Atty. No.: __________________ Name: __________________________________________ Firm Name: _____________________________________ Atty. for Representative: __________________________ Address: ________________________________________ City/Zip: ________________________________________ Telephone: _____________________________________

Signed and sworn to before me _____________________________________, ________ _______________________________________________ (Clerk of Court) (Notary Public)

DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS