In The Circuit Court For The Seventh Judicial Circuit of Illinois Sangamon County, Springfield, Illinois IN THE ESTATE OF: } Day of Case Number: (Deceased) LETTERS OF ADMINISTRATION The above Court has appointed (Name) as ADMINISTRATOR of the Estate of (Name) deceased, who died on the , 20 and such representative is authorized to sue for and collect the Personal Estate of, and debts due the Decedent, and to perform all duties imposed on the representative so far as there is property and is charged by law and to do all other acts now or hereafter required by law of said representative. Date (Seal of Court) Witness Clerk of the Circuit Court CERTIFICATE I certify that this is a copy of the Letters of Office now in force in the case. (Seal of Court) Date Clerk of the Circuit Court American LegalNet, Inc. www.FormsWorkFlow.com