2603 INVENTORY (Rev. 7/10/01) CCP 0334 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Estate of ____________________________________________________ } No. ____________________________________ Docket __________________________________ Page ____________________________________ INVENTORY _________________________________________________, states under the penalties of perjury that the following (Name and Capacity) is the ________________________ inventory of the real and personal property of the __________________________ (amended) (supplemental) (decedent) (minor) (disabled person) and of any cause of action on which there is a right to sue that has come to the knowledge of the representative: Item No. Description _____________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ __________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ (attach additional sheets as necessary) The approximate value of personal estate on date of issuance of letters is $ ________________________________ The approximate annual income from real estate is $ ____________________________________________________ The bond of the individual representative complies with the requirements of 755 ILCS 5/12-5. Atty. No.:__________________ Atty. Name: _________________________________________ Firm Name: ___________________________________________ Attorney for Representative Address: ____________________________________________ City/State/Zip: ________________________________________ _________________________________________________ Representative _________________________________________________ Attorney Certification Telephone: __________________________________________ 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