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 - SURETY I, ______________________________________, on oath state that I will faithfully discharge the duties of the office of representative. I and the undersigned sureties jointly and severally bind ourselves to the People of the State of Illinois to the faithful discharge of those duties. The obligation of this bond is limited to $_________________________________ APPROVED: ______________________________, 20______ _______________________________________ Judge *_______________________________________________ As representative and principal Address _________________________________________ ________________________________________________ *_______________________________________________ As surety Address_________________________________________ ________________________________________________ *_______________________________________________ As surety Address_________________________________________ ________________________________________________ Subscribed and sworn to before me by the representative on ___________________________________, 20_______. ________________________________________________ (Clerk of Court) (Notary Public) Name____________________________________________________ Attorney for_______________________________________________ Address__________________________________________________ City, State Zip_____________________________________________ Telephone________________________________________________ PR-OAT4: Revised 12/01/06 Estate of Deceased American LegalNet, Inc. www.FormsWorkflow.com