4212 Bond-Refunding (Rev. 1/14/01) CCP 0389 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT - PROBATE DIVISION Estate of _________________________________________________ Deceased } No. ___________________________________ Docket ________________________________ Page __________________________________ BOND - REFUNDING We, __________________________________________________________________________________ and (Principal) ___________________________________________________________________________________________ and (Surety) ________________________________________________________________________________________________ (Surety) jointly and severally bind ourselves to the representative, that the principal will refund to the representative the due proportion of any claim entitled to be paid from the estate distributed, together with the expense of recovery, including reasonable attorney's fees and additional expense of administration, whenever the court orders. The obligation of this bond is limited to $ ____________________. APPROVED *____________________________________________ _______________________________________, _________ Address ________________________________________ Principal ____________________________________________________ Judge Judge's No. _____________________________________________ (City) (State) (Zip) *____________________________________________ Surety Address ________________________________________ Atty. No.:__________________ Name: ______________________________________________ Atty. for Petitioner: ___________________________________ ________________________________________________ (City) (State) (Zip) *_______________________________________________ Address: ____________________________________________ Surety City/State/Zip: _______________________________________ Address _________________________________________ Telephone: __________________________________________ _______________________________________________ (City) (State) (Zip) Signed and sworn to before me on this ___________ day of ________________________________________, ________ _______________________________________________ (Clerk of Court) (Notary public) *First name of each principal and individual surety must be written in full. DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Print This Form For your protection and privacy, please press the Clear This Form button after you have printed the form. Clear This Form