IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT WILL COUNTY, ILLINOIS - IN PROBATE Estate of _______________________________ Hearing on petition set for: ______________, 20____ _____ a.m., Room ______ River Valley Justice Center Joliet, IL 60431 CASE NO: ______________________________ PETITION FOR LETTERS OF ADMINISTRATION ________________________________________________________ states under penalties of perjury: 1. ________________________________________________, whose place of residence at the time of death was_________________________________________________________________________, (address) (city) (county) (state) died _____________________________, 20 _____, at ___________________________________ (city) (state) leaving no will. 2. The approximate value of the estate in this state is: Personal $_______________ Real $_______________ Annual Income 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. Petitioner is a ________________________________ of decedent and is legally qualified to act, or to nominate a resident of Illinois to act as administrator. *6. 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 part of this petition. *If supervised administration is requested, so state and strike Paragraph 6. (SEE REVERSE SIDE) American LegalNet, Inc. www.FormsWorkFlow.com 36 C (Revised 12/16) Petitioner asks that Letters of Administration issue to the following, qualified, and willing to act: Name _____________________________________ _____________________________________ _____________________________________ _____________________________________ Post-Office Address _____________________________________ _____________________________________ _____________________________________ _____________________________________ ___________________________________ Petitioner Address: ____________________________ ____________________________________ ____________________________________ ____________________________________ Attorney Certification If a consul or consular agent is to be notified, name country: ________________________________________ Attorney Name______________________________________ ARDC#____________________________________________ Firm Name_________________________________________ Attorney for ________________________________________ Address____________________________________________ City & Zip__________________________________________ Telephone__________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com ANDREA LYNN CHASTEEN, CLERK OF THE CIRCUIT COURT OF WILL COUNTY