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q 0007 Supervised q 1007 Jury q 0008 Independent q 1008 Jury Petition for Probate of Will and for Letters Testamentary IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT-PROBATE DIVISION Estate of

(Rev. 9/24/01) CCP 0315

_______________________________________ Deceased

}

No. __________________________ Docket _______________________ Page _________________________

Date Will Filed: _______________, ________

PETITION FOR PROBATE OF WILL AND FOR LETTERS TESTAMENTARY ___________________________________________________________________ states under the penalties of perjury: 1. _________________________________________________________, whose place of residence at the time of death was ___________________________________________________________________________________________________
(Address) (City) (County) (State) (Zip)

died ___________________________, ________ at ___________________________________________ leaving a will
(Date) (City) (State)

dated __________________________, ________ _________________________________________________________ which petitioner believes to be the valid last will of the testator. 2. The approximate value of the estate in this state is: Personal $ ____________________ Real $ ____________________
(and codicil dated ____________________________, ________)

Annual Income From Real Estate $ ____________________

3. The names and post office addresses of the testator's heirs and legatees are set forth on Exhibit A made a part of this petition. (List heirs first, indicate the relationship of each heir and legatee and, if the heir or legatee is a minor or disabled person, so state.) 4. The testator nominated as executor of the following, qualified and willing to act: Name _________________________________________________ _________________________________________________ Post Office Address ____________________________________________ ____________________________________________

*5. The name and post office address of the personal fiduciary designated to act during independent administration for each heir or legatee who is a minor or disabled person are shown on Exhibit A, a part of this petition. 3004 Petitioner asks that the will be admitted to probate and that letters testamentary issue. Atty. No.:__________________ Name: _____________________________________________ Firm Name: _______________________________________ Atty. for Petitioner: _________________________________ Address: _______________________________________ City/State/Zip: ___________________________________ Telephone: _____________________________________ If a consul or consular agent is to be notified, name country: _________________________ _____________________________________________ Petitioner _______________________________________________ Address ______________________________________________ City State Zip

_______________________________________________ Attorney Certification *If supervised administration is requested, so state and strike Paragraph 5. DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS