In The Circuit Court For The Seventh Judicial Circuit of Illinois Sangamon County, Springfield, Illinois IN THE MATTER OF THE ESTATE OF: (Deceased)(Disabled Adult)(Minor's Estate) } Case Number: BOND AND OATH OF LEGAL REPRESENTATIVE I , on oath state that I will will truly administer and faithfully discharge the duties of the Office of Representative to which I am being appointed recognizing that I am financially responsible for the actions which I am about to undertake. I hereby bind myself to the People of the State of Illinois in the penal sum of not less than double the value of Personal Estate if individuals act as Sureties, or one and one half times the value of the Personal Estate if a Surety Company acts as a Surety. The total value is to be determined by the value of the Personal Estate as may come into the hands of the Representative from time to time. THE CONDITION OF THIS OBLIGATION IS SUCH, that if the said Legal Representative of the above captioned Estate faithfully discharges the duties of the office, according to law and does all acts which at any time may be required of said Legal Representative by law, or by a Court, then this obligation is void; otherwise, it remains in full force. Dated this ____ Day of ____________________, 20____. Principal: Sureties: (SEAL) The Sureties hereto acknowledge the potential financial responsibility for Principal's actions to the extent of the amount of the Bond above. Surety: Address: City/State/Zip: Surety: Address: City/State/Zip: (All parties signing this Bond are urged to read it carefully. Liability on this Bond continues until released by Court.) Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com (SEAL) (SEAL) STATE OF COUNTY OF ) ) The undersigned, a Notary Public in and for said County, in the State aforesaid, does hereby certify that each of the aforesaid individuals signing the above Bond is personally known to me and that he/she appeared before me this Day in person and acknowledged that he/she signed said instrument. Given under my hand and Official Seal Notary Public APPROVED: Approved this _____ Day of _____________________, 20_____. Judge Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com