q 0014 q 1014 Jury Petition For Summary Administration (Intestate) (Rev. 9/24/01) CCP 0500 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT-PROBATE DIVISION Estate } ______________________________________ Deceased No. _________________________ Docket ______________________ Hearing on petition set for ____________________, _______ _________M. Room __________ Richard J. Daley Center Chicago, Illinois 60602 Page ________________________ q 2605 PETITION FOR SUMMARY ADMINISTRATION (INTESTATE) ____________________________________________________________________________________ on oath states: 1. _________________________________________________________, whose place of residence at the time of death was _____________________________________________________________________________________________, (address) died (city) (county) (state) (zip) ________________________, ________ at _____________________________________________, leaving no will. (date) (city) (state) (zip) 2. The gross value of the decedent's real and personal estate subject to administration in this State does not exceed $50,000.00 and is itemized on Exhibit A attached and made a part of this petition. *3. (a) There are no unpaid claims against the estate. (b) The unpaid claims against the estate are itemized on Exhibit A attached and made a part of this petition. *4. (a) No tax will be due to the United States or this State by reason of the death of the decedent. (b) All taxes due to the United States or this State by reason of the death of the decedent have been paid or provided for. (c) All taxes due to the United States or this State by reason of the death of the decedent are the responsibility of another fiduciary. ___________________________________________________________________________________________ (Insert name and address) *5. (a) No person is entitled to surviving spouse's or child’s award. (b) The persons entitled to a surviving spouse's award and the minimum awards allowable and amounts paid are set forth on Exhibit A attached hereto and made a part of this petition. 6. The name and post-office addresses of decedent's heirs are set forth on Exhibit A attached hereto and made a part of this petition. (Indicate the relationship and whether an heir is a minor or disabled person.) 3004 7. All heirs of the decedent have consented in writing to distribution of the estate on summary administration and their consents are attached to this petition. 8. Each distributee tenders herewith a bond, with surety, in the value of his or her distributive share. Petitioner asks that the court determine the rights of claimants and other persons interested in the estate, direct payment of claims and distribution of the estate on summary administration, excuse the issuance of letters of office or revoke the letters issued, and discharge the representative. ________________________________________________ Atty. No.: _______________ Name: _________________________________________ Attorney for: ____________________________________ Petitioner Address _________________________________________ ______________________________________ City/State/Zip:____________________________________ Telephone: ______________________________________ _______________________________________________ *Strike (a),(b), or (c) if not applicable. ________________________________________________ Address: Signed and sworn before me ________________________________________, ________ Notary Public DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Print This Form For your protection and privacy, please press the Clear This Form button after you have printed the form. Clear This Form