q 0009 Supervised q 1009 Jury q 0010 Independent q 1010 Jury Petition for Probate of Will and for Letters of Administration with Will Annexed (Rev. 7/9/01) CCP 0316 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT-PROBATE DIVISION Hearing on petition set for Estate of __________________________________________ Deceased } No. ___________________________ _____________________, ________ Docket _______________________ __________ M., Room ___________ Page _________________________ Richard J. Daley Center Chicago, Illinois 60602 q 2605 PETITION FOR PROBATE OF WILL AND FOR LETTERS OF ADMINISTRATION WITH WILL ANNEXED _________________________________________________________________________ states under penalties of perjury: 1. __________________________________________________________, whose place of residence at the time of death was ________________________________________________________________________________________________ (Address) (City) (County) (State) (Zip) died ___________________________, ________ at ______________________________________________ leaving a will dated _________________________, ________ _________________________________________________________ (date) (City) which petitioner believes to be the valid last will of the testator. 2. The approximate value of the estate in this state is: (State) (and codicil dated ________________________, __________) Annual Income Personal $ _____________________ Real $ ___________________ From Real Estate $ _______________________ 3. The names and post office addresses of the testator's heirs and legatees are set forth on Exhibit A and made a part of this petition. (List heirs first, indicate the relationship of each heir and legatee and, if an heir or legatee is a minor or disabled person, so state.) 4. The testator nominated as executor __________________________________________________________________ who _______________________________________________________________________________________________________. (reason for not acting) 5. The names and post office addresses of the persons who are entitled to nominate an administrator in preference to (P) or equally with (E) petitioner are set forth on Exhibit A made a part of this petition. (If none, so state). 6. Petitioner is a _______________________________________________ of testator, is legally qualified to act or to nominate a resident of Illinois to act as administrator and nominates __________________________________________________ whose address is _______________________________________________________________________________________ *7 The name and post office address of the personal fiduciary designated to act during independent administration for each heir or legatee who is a minor or disabled person are shown on Exhibit A, made a part of this petition. Petitioner asks that the will be admitted to probate and that letters of administration with will annexed issue. Atty. No. _______________ Name: ____________________________________________ Firm Name: ________________________________________ ___________________________________________________ Petitioner Attorney for Petitioner: _______________________________ __________________________________________ City/State/Zip: ______________________________________ Telephone: _________________________________________ __________________________________________________ Address __________________________________________________ City State Zip Address: If a consul or consular agent is to be notified, name country: ___________________ *If supervised administration is requested, so state and strike paragraph 7. ___________________________________________________ Attorney Certification DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS