STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE 17TH JUDICIAL CIRCUIT COUNTY, ILLINOIS IN THE MATTER OF THE ESTATE OF ) ) ) NO. ) ) Deceased ORDER OF DISCHARGE On presentation of the final account of , (Office) notice having been given or waived, and a Guardian Ad Litem for , (Name) , , the court finds that: (Minor) (Disabled Person) (appeared) (been waived) 1. All assets have been collected; 2. *All claims have been paid or dismissed; *No claims have been presented: *Strike the inapplicable item. 3. Illinois estate tax (The) (No) (has been paid) (has been provided for) ; (is due) 4. Federal estate tax (The) (No) (has been paid) (has been provided for) ; (is due) 5. All court costs have been ; (paid) (released) A-13 APPENDIX M 04/95 American LegalNet, Inc. www.FormsWorkFlow.com APPENDIX M - Continued 6. (Additional findings) 7. The remaining estate has been distributed to the person(s) entitled thereto as shown by the final account. IT IS ORDERED that the final account is approved and (Name) (Office) is discharged and his bond cancelled, and the estate is closed. Dated , 20 ENTER: (Judge) A-13.1 APPENDIX M 04/95 -2- American LegalNet, Inc. www.FormsWorkFlow.com