2408 Petition to Settle Cause Of Action - Minor’s Estate (Rev. 7/11/01) CCP 0395 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT - PROBATE DIVISION ESTATE OF __________________________________________________________ Minor } No. ____________________________________ Docket _________________________________ Page ___________________________________ PETITION TO SETTLE CAUSE OF ACTION - MINOR'S ESTATE _____________________________________________________________________________, guardian of the estate of __________________________________________________, a minor, states under the penalties of perjury: 1. The minor has a cause of action against _____________________________________________________________ _________________________________ for injury to the minor on _______________________________, ________. 2. The minor sustained injuries fully described on Exhibit A and made a part of this petition. 3. A settlement of $ ______________________ has been offered and petitioner recommends that it be accepted. * 4. An order was entered by Judge __________________________________ on ______________________, _______, in Case No. ______________________________, approving the settlement and determining the distribution of the proceeds. (Attach copy of order) 5. The total charges against the proceeds are $ ________________________ and are itemized on Exhibit B and made a part of this petition. 6. The balance available for distribution to the minor is $ _________________________________________________. 7. Petitioner asks leave to distribute the balance as follows: *(a) $ _____________________________ to be deposited in ______________________________________________, (name of depository) in an account in the name of the minor to be held subject to further order of court and to be released to the minor without further order upon the attainment of majority on ___________________________________________. (month/day/year) *(b) $ _____________________________ to be paid to ___________________________________________________ (name of guardian, parent or relative, stating relationship) ________________________________________________ for the benefit of the minor. Petitioner asks leave to settle the cause of action for the sum offered, to distribute the proceeds and to be discharged as guardian. _______________________________________________ Petitioner ____________________________________, ________ CERTIFICATE OF ATTORNEY I certify that I have examined the facts of this case and the applicable law. In my opinion, the proposed settlement is just and proper and my disbursements were necessary and reasonable. Atty. No.:__________________ Name: _______________________________________________ Atty. for Petitioner: __________________________________ _________________________________________________ Attorney Address: ___________________________________________ City/State/Zip: _____________________________________ Telephone: ________________________________________ *Strike if not applicable 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