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2632 Receipt and Approval on Closing of Decedents Estate in Independent Administration IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT-PROBATE DIVISION Estate of _________________________________________________________ Deceased

(Rev. 8/8/01) CCP 1017

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No. __________________________________ Docket _____________________________ Page _______________________________

RECEIPT AND APPROVAL ON CLOSING OF DECEDENTS ESTATE IN INDEPENDENT ADMINISTRATION*
I, __________________________________________________________, acknowledge that I have received my distributive share of the estate in full. I have also received copies of the representatives inventory, accounting, and final report. I approve the accounting and consent to the fees of the representative in the amount of $ ______________ and the fees of the attorney for the probate estate in the amount of $ _______________, as set forth in the accounting.

Date: __________________________, ________

_______________________________________________ Distributee _______________________________________________ Address _____________________________________________ City/State/Zip

*To be signed by the heirs in an intestate estate or by the residuary legatees in a testate estate Atty. No.:__________________ Name: _________________________________________________ Atty. for Representative: __________________________________ Address: _______________________________________________ City/State/Zip: _________________________________________ Telephone: _____________________________________________

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