IN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT KANE COUNTY, ILLINOIS Case No. IN THE MATTER OF THE ESTATE OF (DECEDENT): Name: Address: City, State, Zip: Date of Death: File Stamp AFFIDAVIT AS TO COPY OF WILL certifies that he/she is the attorney for the petitioner and that the attached facsimile is a copy of the will filed for admission . petitioner to probate on Petitioner: Address: City, State, Zip: Under penalties as provided by law pursuant to 735 ILCS 5/1-109, the undersigned certifies that the statements set forth in this petition are true and correct, except as to matters stated to be on information and belief and as to such matters the undersigned certifies that he/she verily believes S the same to be true. Attorney/Pro Se: Address: City, State, Zip: Telephone No.: Atty. Registration No.: Attorney E-mail: P1-PR-015 (11/12) American LegalNet, Inc. www.FormsWorkFlow.com