Print Form Clear Form 2616 Proof Of Mailing And Publication (Rev. 09/06/13) CCP 1000 A IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT - PROBATE DIVISION Estate of No. ___________________________________ _____________________________________________________ Deceased PROOF OF MAILING AND PUBLICATION The undersigned states under the penalties of perjury: 1. On __________________________________, ________, the following required notices* were mailed to each person whose name and address are stated on the reverse side: (Please list notices mailed.) ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ _________________________________________________________________________________________________________ __________________________________________________________________________________________________ Copies of each notice and the required documents, as mailed, are in the possession of the attorney. 2. The following notices * have been published: _________________________________________________________________________________________________ ___________________________________________________________________________________________________ The publisher's certificate for each notice is attached hereto or is on file with the clerk of the court. _______________________________________________ Petitioner/Representative/Attorney Atty. No.:__________________ Name: ________________________________________________ Firm Name: __________________________________________ Atty. for Representative: _____________________________ Address: _____________________________________________ __________________________________________________ Attorney Certification if signed by Petitioner or Representative (Sup. Ct. Rule 137) City/State/Zip: _________________________________________ Telephone: ___________________________________________ _____________________________________, ________ Date Page 1 of 2 DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (Rev. 09/06/13) CCP N1000 B *Fill in the blanks in 1 and 2 with the appropriate notices under the Probate Act. The more frequently used forms are listed below: PROBATE ACT � DESCRIPTION OF NOTICE Mailed Notices Notice to heirs and legatees -- will admitted Notice to heirs and legatees of rights in independent administration Notice to heirs of hearing on petition for letter of administration (or L/A with will annexed) Notice of termination of independent administration Notice of final report-- independent administration Published Notices Claims notice Notice to unknown heirs and legatees of admission of will, and claims notice Grant of independent administration in intestacy and claims notice Final report filed -- independent administration Summary administration notice Form # 1020 Form # 1003 A-B Form # 1004 Form # 1007 Form # 1008 6-10 28-2 9-5 and 6-2 28-4(a) 28-11(e) (A) (B) (C) (D) (E) 18-3 6-10 and 18-3 9-5 and 18-3 28-11 (e) 9-8(g) Name Address City/Zip Page 2 of 2 DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS