Free CIRCUIT COURT OF THE _________________________ JUDICIAL CIRCUIT - Illinois

CIRCUIT COURT OF THE _________________ JUDICIAL CIRCUIT _____________________ COUNTY, ILLINOIS

ESTATE OF No. ___________ ___________________________________
Deceased

PETITION FOR LETTERS OF ADMINISTRATION _____________________________________________________________ , on oath states: 1. _______________________________, a resident of ______________________in the County of _________________ and State of __________________, died on the _____day of ______, 20______, at ___________________________________________________, leaving no Will. 2. The approximate value of the estate in this State is: Personal: $ __________________ Real: $ __________________ Annual Income from Real Estate: $ _________________________ 3. The following are the names and post-office addresses of all of the heirs and of all persons entitled to preference over, or equally entitled with, petitioner _______ to nominate an administrator: Right to Nominate: Preference-P Equally-E

Name

Relationship

Minor-M Disabled-D

Address

4.

Your petitioner, whose post-office address is ______________________________________, is a resident of the State of ________________, is a ___________________of said decedent, and is legally qualified to petition for Letters or to nominate an administrator. Independent Administration under Article XXVIII (is) (is not) requested. If Independent Administration is requested, the following are the names and addresses of all personal fiduciaries acting or designated to act pursuant to Section 28-3 of the Probate Act: Name Address

5.

Petitioner prays that Letters of Administration issue to: Name Address

qualified and willing to act. ______________________________
Petitioner ________________________________________ Petitioner's Address

______________________________
Petitioner

______________________________
Petitioner's Address

SUBSCRIBED AND SWORN to before me this _____ day of _____________________ 20 _____, in the County of _____________ and the State of _____________________, ___________________________________
Notary Public-Clerk

Hearing is set for the ______________ day of ____________________ 20 ______, at _______ o'clock _____M, at ____________ ____________________________________ Name: __________________________ ___________________________________, Ill.

Attorney for Petitioner Address: __________________________ __________________________________ Telephone: ________________________ If a consul or consular agent is to be notified, state name of country here: _____________

(4-02 Pet for letters/adm.)