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 and Place of Death: File Stamp OATH AND BOND OF REPRESENTATIVE - SURETY I, , certify that I will faithfully discharge the duties of the office of representative. I and the undersigned sureties jointly and severally bind ourselves and our heirs, executors and administrators, to the People of the State of Illinois, for the faithful discharge of those duties. 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. SURETIES: 1. Name: (Signature) Address: City, State, Zip: 2. Name: (Signature) 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 the same to be true. Attorney/Pro Se: Address: City, State, Zip: Telephone No.: Atty.: Registration No.: Attorney E-mail: P1-PR-013 (11/12) American LegalNet, Inc. www.FormsWorkFlow.com ) (Print Name) (Print Name) Representative's Signature: Address: City, State, Zip: Telephone No.: Date Approved: Judge