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 OATH AND BOND OF REPRESENTATIVE-SURETIES WAIVED I, , certify that I will faithfully discharge the duties of the office of representative. I bind myself and my heirs, executors and administrators, jointly and severally to the People of the State of Illinois for the faithful discharge of those duties. The condition of this obligation is that if I faithfully discharge the duties of this office according to law and do all acts which at any time be required by law or by a Court, then this obligation is vacated, otherwise it remains in full force. is the amount of this bond New Bond Additional Bond (Previous bond in the amount of Bond is for sale of real estate Bond is for mortgage of real estate. 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 the same to be true. ) Representative's Signature: Address: City, State, Zip: Telephone No.: Date Approved: Judge Attorney/Pro Se: Address: City, State, Zip: Telephone No.: Atty. Registration No.: Attorney E-mail: P1-PR-011 (11/12) American LegalNet, Inc. www.FormsWorkFlow.com