q 0004 Supervised q 1004 Jury q 0005 Independent q 1005 Jury Petition For Letters Of Administration (Rev. 11/2/01) CCP 0302 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS No. ________________________ Estate of ________________________________________ Deceased Docket ______________________ Page _______________________ Hearing on petition set for __________________, ________ __________ M., Room _______ Richard J. Daley Center Chicago, Illinois 60602 2605 PETITION FOR LETTERS OF ADMINISTRATION _______________________________________________________, states under the penalties of perjury: 1. _______________________________________________, whose place of residence at the time of death was ________________________________________________________________________________ (address) (city) (county) (state) (zip) died ____________________, _______, at ______________________________________ leaving no will. (city) 2. (state) The approximate value of the estate in this state is: Personal Annual Income From Real Estate Real $ ______________________ $ ______________________ $ ______________________ 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 and/or administer in preference to (P) or equally with (E) petitioner are set forth on Exhibit A 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 of this petition. Petitioner asks that Letters of Administration issue to the following person(s), qualified and willing to act: Name Post-Office Address ____________________________________ Atty. No. _______________ Atty. Name: _____________________________________ Firm Name: ____________________________________ Address: _______________________________________ Petitioner Address: _____________________________ City/State/Zip: _________________________ ____________________________ City/State/Zip: ___________________________________ Telephone: Telephone: ______________________________________ Atty. Certification ______________________ If a consul or consular agent is to be notified, name country: _______________________________ *If supervised administation is requested, so state and strike Paragraph 6. 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