STATE OF ILLINOIS) )SS COUNTY OF WILL ) IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT WILL COUNTY, ILLINOIS - IN PROBATE Estate of Deceased CASE NO:______________________ APPLICATION FOR AWARD The undersigned representative of this estate applies to the court to allow a surviving spouse's and child's award as follows: 1. For surviving spouse 2. For minor and adult dependent children of decedent $_____________ residing with decedent, payable to spouse 3. For minor and adult dependent children of decedent not residing $_____________ with spouse, payable to 4. For minor and adult dependent children of decedent when $_____________ decedent leaves no spouse $_____________ TOTAL $_____________ Representative Subscribed and sworn to before me this day of , 20 . Notary Public (SEE REVERSE SIDE) 2000 © American LegalNet, Inc. STATE OF ILLINOIS) )SS COUNTY OF WILL ) IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT WILL COUNTY, ILLINOIS - IN PROBATE Estate of CASE NO:____________________ Deceased AWARD TO SURVIVING SPOUSE AND CHILDREN It is ordered that the following reasonable award is allowed, to be paid in not more than 3 installments: 1. For surviving spouse 2. For minor and adult dependent children of decedent $_____________ residing with spouse, payable to spouse 3. For minor and adult dependent children of decedent not residing $_____________ with spouse, payable to 4. For minor and adult dependent children of decedent when $_____________ decedent leaves no spouse $_____________ TOTAL $_____________ ,20____ ENTER ______________________________________________ JUDGE Name_________________________________________________ Attorney for___________________________________________ ARDC#_______________________________________________ Address_______________________________________________ City__________________________________________________ Telephone_____________________________________________ PAMELA J. McGUIRE, CLERK OF THE CIRCUIT COURT OF WILL COUNTY 2000 © American LegalNet, Inc.