IN THE CIRCUIT COURT OF THE TWENTY-SECOND JUDICIAL CIRCUIT McHENRY COUNTY, ILLINOIS Probate Division Estate of ______________________________________ Deceased ) ) ) ) ) Case Number_____________________________ PETITION FOR LETTERS OF ADMINISTRATION ___________________________________________________________, states under penalty of perjury: 1. ___________________________________________, whose place of residence at the time of death was _____________________________________________________________________________________, died ___________________________, 20_____, at _______________________________ leaving no will. 2. The approximate value of the estate in this state is: Annual Income Personal $__________________ Real $____________________ From Real Estate $________________ 3. The names and post-office addresses of decedent's heirs are set forth on Exhibit A and made a part of this petition. (Indicate the relationship and whether an heir is a minor or disabled person.) 4. The names and post-office addresses of persons who are entitled to nominate an administrator in preference to (P) or equally with (E) petitioner are set forth on Exhibit A made a part of this petition. If none, so state: ______________________. 5. *6. Petitioner is a ___________________________________ of decedent and is legally qualified to act, or to nominate a resident of Illinois to act, as administrator. The name and post office address of the personal fiduciary designated to act during independent administration for each heir who is a minor or disabled person are shown on Exhibit A made a part of this petition. *If supervised administration is requested, so state and strike Paragraph 6. (address) (city) (county) (state) PR-PET2: Revised 4/12/12 Page 1 of 3 Estate of Deceased American LegalNet, Inc. www.FormsWorkFlow.com 7. Petitioner asks that Letters of _________________________________________________________ issue to the following, qualified and willing to act: Name (Administration) (Independent Administration) Address __________________________________________ Address ___________________________________ __________________________________________ __________________________________________ Attorney Certification Petitioner's Signature Name_________________________________________ Attorney for____________________________________ Address________________________________________ City, State Zip___________________________________ Telephone______________________________________ PR-PET2: Revised 4/12/12 Page 2 of 3 Estate of Deceased American LegalNet, Inc. www.FormsWorkFlow.com To Petition for Probate and for Letters of Administration Estate of ______________________________________ Deceased ) ) ) ) ) EXHIBIT A Case Number_____________________________ LIST OF HEIRS OF __________________________________________, DECEASED Name/Address Relationship Heir, Minor or Disabled Preference (P or E) Description of Interest* If a consul or consular agent is to be notified, name country:____________________________________________ *List specific percentage (or fractional) interest in estate. (e.g., 50% (1/2); 33% (1/3), etc.) PR-PET2: Revised 4/12/12 Page 3 of 3 Estate of Deceased American LegalNet, Inc. www.FormsWorkFlow.com