CLAIM COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. UNITED STATES OF AMERICA : STATE OF ILLINOIS : ESTATE OF CASE NUMBER Plaintiff(s) 3709 (Rev. 12/04) Index No. COUNTY OF DU PAGE Calendar No. IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT : : : : JUDICIAL SUBPOENA -against- Defendant(s) DECEASED : ...................................................... File Stamp Here THE PEOPLE OF THE STATE OF NEW YORK TO ORDER , / / GREETINGS: Allowed for $ Class WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court Judge located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the claims $ the estate and says:* against Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable , one of the Justices of the claimant; he/she has knowledge of the facts relating to the claim; the statements are true; the claim is just and unpaid after allowing Court in County, day of , 20 , on oath says he/she is the all just credits, deductions and set-offs. Name: DuPage Attorney No.: Attorney For: Address: City/State/Zip: Telephone: Name: Address: (Attorney must sign above and type name below) City/State/Zip: Telephone:Attorney(s) for Signed and sworn to before me , , 20 Office and P.O. Address Clerk of Court - Notary Public *When claim is based upon a written instrument, a copy of the instrument must be attached. Telephone No.: Facsimile No.: E-Mail CIRCUIT CHRIS KACHIROUBAS, CLERK OF THE 18TH JUDICIAL Address: COURT © Mobile Tel. No.: WHEATON, ILLINOIS 60189-0707 American LegalNet, Inc. www.USCourtForms.com Defendant(s) : ...................................................... / ................................................./.......... . IN THE CIRCUIT COURT OF DU PAGE COUNTY THE PEOPLE OF and delivery of copy OF NEW YORK Mailing THE STATE of claim waived, TO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ./ . . . . . . . . . ./ . . . . . . . . . . Executor Guardian Attorney for estate Administrator Conservator Estate of .................................... WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before to. . . . . . . . . . . . .......... .. .. , the Honorable. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Administrator . . . at .the Court Executor Conservator Guardian located at County of . . the. . . . . .day . ... . . .. inand to . . . . . . . . . . . . . . ,. .on.Attorney. for .estate. . . .of. . . . . . . . . . . . . . , .20. room , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the at their respective address as shown in the files of the estate. ............................................................ Attorney or Agent for claimant. ............................................................. I certify that on . ....... . ..... GREETINGS:. . . delivered. in. person. . . . . . . . . . . . . . . . . . . . . . . a copy of this claim was mailed by registered mail, return receipt requested ordinary CLAIM Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to / . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ./. . . . . . . . . . . . . . . the. party .on. .whose. .behalf. .this. subpoena. .was .issued. .for a maximum penalty of $50 and all damages sustained as a I resultconsent to the allowance of the within claim for $ . . . . . . . . . . . . . . . of your failure to comply. We as a claim of the . . . . . . . . . . . . . . . . . . . . . . . . . . . class and that theWitness, Honorable the estate. cost of filing be charged to , one of the Justices of the Court. in. . . . . . . . . . . . . . . .County,. . . . . . . .day. .of. . . . . . . . . . . . . . . , 20 .... .. ........ ... . .................................... Claimant Executor Guardian Attorney for estate Administrator Conservator / Date of Letters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ./. . . . . . . . . . . . . . . . Claim Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . / . . . . . . . . / . . . . . . . . . . (Attorney must sign above and type name below) Amount of Claim $ 18-1. Filing of claims--mailing or delivery of copies. (a) A claim against the estate of a decendent or ward, whether based on contract, tort, statutory custodial claim or otherwise, may be filed with the representative or the court or both. When a claim is filed with the representative but not with the court, the representative may file the claim with the court but has no duty to do so. (b) Within 10 days after a claimant files his/her claim with the court, the claimant (1) shall cause a copy of the claim to be mailed or delivered to the representative and to his/her attorney of record, unless the representative or his/her attorney has in writing either consented to allowance of the claim or waived mailing or delivery of a copy, and (2) shall file with the court proof of any required mailing or delivery of copies. Failure to mail or deliver copies of the claim or to file proof thereof does not affect the validity of the claim filing under subsection 18-1(a). Amended by P.A. 85--1417, § 4, eff. Jan. 1, 1989. Attorney(s) for Office and P.O. Address Set for hearing . . . . . . . . m. in Room . . . . . . . Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com