IN THE CIRCUIT COURT OF THE TWENTY-SECOND JUDICIAL CIRCUIT McHENRY COUNTY, ILLINOIS Probate Division Estate of ) ) ) ) ) _______________________________________ Deceased Case Number_____________________________ OATH AND BOND OF REPRESENTATIVE - NO SURETY I, ________________________________________________, on oath state that I will discharge faithfully the duties of the office of representative, and I acknowledge that I am bound to the People of the State of Illinois to the faithful discharge of those duties in an amount equal to double the value from time to time of the personal estate. APPROVED: ______________________________________, 20____ _____________________________________________ Judge ___________________________________________ Address ____________________________________ ___________________________________________ Name________________________________________ Attorney for___________________________________ Address______________________________________ City, State Zip_________________________________ Telephone____________________________________ Subscribed and sworn to before me this ________ day of ______________________,20____ ___________________________________________ (Clerk of Court) (Notary Public) PR-OAT3: Revised 12/01/06 Estate of Deceased American LegalNet, Inc. www.FormsWorkflow.com