Free STATE OF ILLINOIS - Illinois

CIRCUIT COURT OF THE _______________________ JUCICIAL CIRCUIT _________________________ COUNTY, ILLINOIS

ESTATE OF:

___________________________
Deceased

) ) ) ) )

No._____________

INVENTORY The following is the _________________________ inventory of the real and personal estate of the (decedent) (minor) (disabled person) that has come to the knowledge of the legal representative of this estate and of any cause of action on which there is a right to sue:

REAL ESTATE (legal description, improvements, encumbrances) **

Value

CHATTEL PROPERTY AND CAUSES OF ACTION **

Value

PERSONAL ESTATE OTHER THAN CASH, GOODS AND CHATTELS (describe) **

Value

NOTES **

Value

*Insert "amended" or "supplemental" if applicable. **Use Addenda if necessary.

On deposit in ____________________ at ______________________ $______________ On deposit in ____________________ at ______________________ $______________ On deposit in ____________________ at ______________________ $______________ The approximate value of personal estate at date of death................$______________ The approximate annual income from real estate...........................$______________

____________________________________
Legal Representative

AFFIDAVIT ________________________________________________________, on oath states that the above inventory is complete and correct. ___________________________________ SUBSCRIBED AND SWORN to before me this __________ day of ____________, 20__. ________________________________
Notary Public - Clerk

Name_______________________________________ Attorney No._____________________________ Attorney for__________________________________ Address_____________________________________ City_________________________________________ Phone________________________________________

INVENTORY 12/07