2403 Petition For Letters Of Administration To Collect (Rev. 12/18/00) CCP 0301 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Estate of } ____________________________________________ Deceased No. ______________________________ Docket ____________________________ Page _____________________________ PETITION FOR LETTERS OF ADMINISTRATION TO COLLECT ___________________________________________________________________________________ on oath states: 1. _______________________________________________________, whose place of residence at the time of death was ______________________________________________________________________________________________, died (Address) (City) (County) (State) __________________________________, _________, at ______________________________________________ (City and State) 2. Approximate value of the estate in this state: Personal $ ____________________ 3. Real $ _____________________ Annual income from real estate $ _____________________ A petition for letters of office has been filed and there will be a delay in the issuance of letters because _______________________________________________________________________________________________ and the estate is liable to waste, loss or embezzlement unless an administrator to collect is appointed. 4. Petitioner is an interested person because ______________________________________________________________________________________________ Petitioner asks that letters of administration to collect issue to the following, qualified and willing to act: ______________________________________________ Name ______________________________________________ Post-office Address ____________________________________ Petitioner Atty. No.:__________________ Address _______________________________________________ Name: _____________________________________________ City/State/Zip __________________________________________ Atty. for Claimant: _______________________________ Address: __________________________________________ City/State/Zip: _____________________________________ Telephone: ________________________________________ Signed and sworn to before me ____________________, ________ __________________________________________ Notary Public 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