2403 Petition For Letters Of Administration To Collect (Rev. 09/06/13) CCP N301 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Estate of No. Deceased ______________________________ ____________________________________________ 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 $ ____________________ Real $ _____________________ Annual income from real estate $ _____________________ 3. 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.:__________________ Name: _____________________________________________ Atty. for Claimant: _______________________________ Address: __________________________________________ City/State/Zip: _____________________________________ Telephone: ________________________________________ Address _______________________________________________ City/State/Zip __________________________________________ Signed and sworn to before me ____________________, ________ __________________________________________ Notary Public DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS